Individual
DR. LOREN PHILLIP HIZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1800 HOLLISTER DR STE G10, LIBERTYVILLE, IL 60048-5264
(847) 786-5366
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071010697
IL
Other
Enumeration date
06/15/2022
Last updated
05/07/2025
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