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Anna Morse Loughlin

Emergency Medicine

Allopathic & Osteopathic Physicians

4201 W Medical Center Dr, Mchenry, IL 60050-8409

PECOS Enrollment

This provider is enrolled in PECOS as ANNA LOUGHLIN.

Based on the most recent information from CMS, provider Anna Morse Loughlin is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1154551794
Provider Type
Individual
Full Name
Loughlin, Anna Morse
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/16/2009
Last Updated
7/21/2022

Contact Information

Practice Location

4201 W Medical Center Dr, Mchenry, IL 60050-8409

(815) 759-3100

Unlisted Fax

Mailing Location

4201 W Medical Center Dr, Mchenry, IL 60050-8409

(815) 759-3100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 036130547 Illinois
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 2020036829 Missouri
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 125056729 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036130547	Description Other	Issuer STATE LICENSE Illinois

Anna Morse Loughlin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Skinner, Jeffrey

Richardson, Ezekiel

Banks, Theodore

Habhab, Oscar H

Savage, Katherine Jean

Self, Hannah Yang

Ughreja, Kishan

Jokhy, Brian

Pacini, John

Bollinger, Timothy L