Individual
DR. GERALD LOFTHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 W BOUGHTON RD STE F1, BOLINGBROOK, IL 60440-1984
(630) 410-2448
(630) 410-8327
Mailing address
PO BOX 278, CLARENDON HLS, IL 60514-0278
(630) 410-2448
(630) 410-8327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36058630
IL
Other
Enumeration date
05/05/2006
Last updated
02/21/2019
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