Provider Demographics
NPI:1609876028
Name:LOFCHY, NEAL M (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:M
Last Name:LOFCHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HIGHLAND AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1558
Mailing Address - Country:US
Mailing Address - Phone:630-701-3840
Mailing Address - Fax:630-574-8225
Practice Address - Street 1:3800 HIGHLAND AVE STE 105
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1558
Practice Address - Country:US
Practice Address - Phone:630-701-3840
Practice Address - Fax:630-574-8225
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036087685207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087685Medicaid
IL036087685Medicaid
IL209160Medicare PIN
IL212417Medicare PIN
ILK21621Medicare PIN
ILP00281818Medicare PIN
IL040008208Medicare PIN
IL501100Medicare PIN
ILCC3183Medicare PIN
ILF98875Medicare UPIN
ILK07057Medicare PIN
ILK21622Medicare PIN
IL209159Medicare PIN
ILP00310323Medicare PIN
IL576180Medicare PIN
ILK07058Medicare PIN
ILDE2650Medicare PIN