Individual
JEFFREY L LOUGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-7921
(317) 415-7922
Mailing address
225 E CHICAGO AVE # 152, CHICAGO, IL 60611-2991
(630) 933-6602
(630) 933-6519
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01091889A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-097718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097718
—
IL
Enumeration date
09/08/2005
Last updated
12/23/2025
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