Phyllis S Loeff, Md. Ltd | |
321 Woodland Rd Highland Park IL 60035-5054 | |
(847) 432-5620 | |
Not Available |
Full Name | Phyllis S Loeff, Md. Ltd |
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Speciality | Psychiatry & Neurology |
Location | 321 Woodland Rd, Highland Park, Illinois |
Authorized Official Name and Position | Phyllis S Loeff (PRESIDENT) |
Authorized Official Contact | 8474325620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phyllis S Loeff, Md. Ltd 321 Woodland Rd Highland Park IL 60035-5054 Ph: (847) 432-5620 | Phyllis S Loeff, Md. Ltd 321 Woodland Rd Highland Park IL 60035-5054 Ph: (847) 432-5620 |
NPI Number | 1376605733 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4082792114 |
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Medicare Enrollment ID | O20080415000458 |
Identifier | Type | State | Issuer |
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1376605733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
Provider Name | Phyllis S Loeff |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720140163 PECOS PAC ID: 5092893123 Enrollment ID: I20080415000450 |
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