Laura Marie Debo Loeser, NP- BC
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1114386752
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1114386752
- Entity type
- Individual (NPI-1)
- Name
- Laura Marie Debo Loeser
- Credential
- NP- BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2016
- Last updated
- Sep 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.013658 | IL | Yes |
| 163W00000X | Registered Nurse | 041.377186 | IL |
Other names
- Laura Marie Debo (Former Name)
Practice location
180 N Michigan Ave1605
Chicago, IL 60601-7401
Phone 312-201-1234
Mailing address
180 N Michigan Ave1605
Chicago, IL 60601-7401
Phone 312-201-1234
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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