Individual
MARK T LOAFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1044 N MOZART, CHICAGO, IL 60622
(773) 292-8307
(773) 292-8266
Mailing address
1044 N MOZART ST, CHICAGO, IL 60622-2789
(773) 292-2600
(773) 292-8266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036085032
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085032
—
IL
Enumeration date
07/10/2006
Last updated
04/26/2021
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