Individual
DR. JESSICA JOAN LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7110 W 127TH ST STE 150, PALOS HEIGHTS, IL 60463-1579
(708) 448-1306
Mailing address
7921 W LAKEVIEW CT APT 2B, PALOS HEIGHTS, IL 60463-3004
(708) 448-1306
(708) 448-1306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622293
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/07/2006
Last updated
08/06/2020
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