Organization
EUGENE B LOFTIN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE LOFTIN III MD (PRESIDENT)
(847) 741-0351
Entity
Organization
Contact information
Practice address
415 W GOLF RD, SUITE 16, ARLINGTON HEIGHTS, IL 60005-3929
(847) 741-0351
(847) 741-6588
Mailing address
415 W GOLF RD, SUITE 16, ARLINGTON HEIGHTS, IL 60005-3929
(847) 741-0351
(847) 741-6588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036051446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051446
—
IL
01
—
4500683
BCBS OF IL
IL
Enumeration date
07/20/2006
Last updated
07/21/2009
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