| Doctor Name: | DR. JAMES GARRETT LOESER |
| NPI Number: | 1033251475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., D.D.S. |
| License Number: | 036.121553 |
| Business Practice Address: | 1580 N Northwest Hwy Suite 300 Park Ridge, IL - 600681444 |
| Business Phone Number: | 8473908200 |
| Business Fax Number: | 8473900479 |
| Mailing Address: | 1580 N Northwest Hwy, Suite 300 PARK RIDGE |
| State: | IL |
| Postal Code: | 600681444 |
| Phone Number: | 8473908200 |
| Fax Number: | 8473900479 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 05/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 036.121553 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |