Provider Demographics
NPI:1952849390
Name:LOITERMAN, NITZA
Entity Type:Individual
Prefix:MRS
First Name:NITZA
Middle Name:
Last Name:LOITERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:NITZA
Other - Middle Name:
Other - Last Name:ARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3821 WRIGHT TER
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2251
Mailing Address - Country:US
Mailing Address - Phone:773-941-1322
Mailing Address - Fax:
Practice Address - Street 1:3821 WRIGHT TER
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2251
Practice Address - Country:US
Practice Address - Phone:773-941-1322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist