Loris, Barbara Dawn

Loris, Barbara Dawn is an individual health care provider with primary practice located at 767 Park Ave W Suite 320, Highland Park IL 60035-2400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Loris, Barbara Dawn can be contacted via phone (847) 433-1060.

Contact Information

Primary practice address
767 Park Ave W Suite 320 Highland Park IL 60035-2400
Fax: (847) 433-1399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036097452 Illinois

Profile Details

NPI number 1649252602
LBN Legal business name Loris, Barbara Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 4th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649252602 NPPES
Illinois MEDICAID 036097452

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