Healthcare Provider Details

I. General information

NPI: 1972780013
Provider Name (Legal Business Name): VERONICA MAE LOY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA MAE TENCATE D.O.

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W HARRISON ST STE 161
CHICAGO IL
60612-3861
US

IV. Provider business mailing address

1725 W HARRISON ST STE 161
CHICAGO IL
60612-3861
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-4252
  • Fax:
Mailing address:
  • Phone: 312-942-4252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number036119924
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036119924
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: