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NPI Code Detail

MEDICARE: DR. JEREMY LOESCHER DO

MEDICARE: DR. JEREMY LOESCHER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) Physician036.159607IL

General Provider Information

NPI Number : 1811458763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY LOESCHER DO
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 3021 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4419
Country : US
Telephone Number : 872-843-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 01/27/2025

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Directions to “ DR. JEREMY LOESCHER DO” Practice Location

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