Active NPI
Alan Bruce Loren, M.D.
- Surgery Physician
- Arlington Heights, IL
National Provider Identifier
1891750949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036064877
- Practice address
- 880 W Central Rd Ste 5000
Arlington Heights, IL 60005-2355 - Phone
- (847) 618-3800
- Fax
- (847) 618-3809
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036064877 | IL | Primary |
Addresses
Primary practice location
880 W Central Rd Ste 5000
Arlington Heights, IL 60005-2355
Mailing address
880 W Central Rd Ste 5000
Arlington Heights, IL 60005-2355
Phone (847) 618-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064877 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064877 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1891750949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 W CENTRAL RD STE 5000",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052355",
"telephone_number": "847-618-3800",
"fax_number": "847-618-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 W CENTRAL RD STE 5000",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052355",
"telephone_number": "847-618-3800",
"fax_number": "847-618-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOREN",
"first_name": "ALAN",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036064877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064877",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.