Doctor Name: | KAREN ANN LOFTUS |
NPI Number: | 1285620286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | |
Business Practice Address: | 636 Raymond Dr Naperville, IL - 605639789 |
Business Phone Number: | 6307172300 |
Business Fax Number: | 6307179638 |
Mailing Address: | 438 N Montclair Ave, GLEN ELLYN |
State: | IL |
Postal Code: | 601374630 |
Phone Number: | 6304699760 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |