Loftus, Jessica Joan
Loftus, Jessica Joan is an sole proprietor health care provider with primary practice located at 7110 W 127Th St Ste 150 , Palos Heights IL 60463-1579. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Loftus, Jessica Joan can be contacted via phone (708) 448-1306.Contact Information
Primary practice address
7110 W 127Th St Ste 150
Palos Heights IL 60463-1579
Phone: (708) 448-1306
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071005326 | Illinois |
Profile Details
NPI number | 1093755241 |
---|---|
LBN Legal business name | Loftus, Jessica Joan |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2006 |
Last updated | Aug 6th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093755241 | NPPES |
Illinois | Other | 1622293 | BLUE CROSS BLUE SHIELD |
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