Organization
NORTHSHORE INTEGRATIVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LOFLAND (PRESIDENT)
(847) 920-4644
Entity
Organization
Contact information
Practice address
455 S ROSELLE RD, SUITE 104, SCHAUMBURG, IL 60193-2971
(847) 920-4644
Mailing address
PO BOX 1592, DEERFIELD, IL 60015-6009
(847) 920-4644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
11/05/2014
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