Ethan Loftspring, MD is a
Student In An Organized Health Care Education/training Program physician based in Chicago, Illinois. Ethan Loftspring is licensed to practice in New York (license number ) and his current practice location is 1653 W Congress Pkwy, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(312) 947-0100.
NPI number for Ethan Loftspring is 1780327429 and his current mailing address is 550 1st Ave, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780327429.
Physician's Profile
| Full Name | Ethan Loftspring |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1653 W Congress Pkwy, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780327429
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 04/15/2025
Medical Identifiers
Medical identifiers for Ethan Loftspring such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780327429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 326439 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Loftspring is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethan Loftspring, MD
550 1st Ave,
New York, NY 10016-6402
Ph: (212) 263-5506 | Ethan Loftspring, MD
1653 W Congress Pkwy,
Chicago, IL 60612-3833
Ph: (312) 947-0100 |
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