Individual
CAROLINE ANN LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 N MICHIGAN AVENUE, SUITE 1200, CHICAGO, IL 60611
(312) 373-7300
(312) 573-1249
Mailing address
737 N MICHIGAN AVENUE, SUITE 1200, CHICAGO, IL 60611
(312) 373-7300
(312) 573-1249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036 101929
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615704
BLUE CROSS BLUE SHIELD
IL
05
—
036101929
—
IL
01
—
260050206
RAILROAD MEDICARE
IL
Enumeration date
08/10/2006
Last updated
07/13/2010
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