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Individual

ETHAN LOFTSPRING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0100
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036175222
IL
207RC0000X
Cardiovascular Disease Physician
326439
NY

Other

Enumeration date
04/20/2022
Last updated
06/18/2025
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