Individual
MICHAEL C LOEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-047494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047494
—
IL
Enumeration date
08/10/2006
Last updated
06/28/2011
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