Organization
JAMES G. LOESER, DDS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G LOESER M.D. (CEO)
(847) 390-8200
Entity
Organization
Contact information
Practice address
1580 N NORTHWEST HWY, #300, PARK RIDGE, IL 60068-1444
(847) 390-8200
(847) 390-8200
Mailing address
1580 N NORTHWEST HWY, #300, PARK RIDGE, IL 60068-1444
(847) 390-8200
(847) 390-8200
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
036121553
IL
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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