Individual
DR. GENE B LOFTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N MARTINGALE RD, SUITE 150, SCHAUMBURG, IL 60173-2407
(847) 385-0660
(866) 441-4306
Mailing address
300 N. MARTINGALE RD, SUITE 150, SCHAUMBURGQ, IL 60173-2098
(847) 385-0660
(866) 441-4306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036051446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051446
—
IL
01
—
4500683
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
07/27/2006
Last updated
03/28/2017
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