Individual
PHYLLIS S LOEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
321 WOODLAND RD, HIGHLAND PARK, IL 60035-5054
(847) 432-5620
(847) 432-9688
Mailing address
321 WOODLAND RD, HIGHLAND PARK, IL 60035-5054
(847) 432-5620
(847) 432-9688
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04901126
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/14/2006
Last updated
07/08/2007
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