Individual
DR. S. DALE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
229 CAMPBELL CT, GENEVA, IL 60134-2076
(630) 232-2331
(630) 845-9145
Mailing address
229 CAMPBELL CT, GENEVA, IL 60134-2076
(630) 232-2331
(630) 845-9145
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036038247
IL
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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