Individual
MR. JEREMIAH L LOCH
Active
Individual
MR. JEREMIAH L LOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
041.128750
IL
207L00000X
Anesthesiology Physician
209.000126
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
041-128750
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
209-000126
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
041128750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332364034001
—
IL
Enumeration date
08/10/2005
Last updated
08/27/2018
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