Individual
DR. KENNETH ROBERT LOFLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
233 E ERIE ST, #204, CHICAGO, IL 60611-2926
(847) 920-4644
Mailing address
PO BOX 1592, DEERFIELD, IL 60015-6009
(847) 920-4644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005140
IL
Other
Enumeration date
11/21/2006
Last updated
11/03/2014
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