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Contact Information

LOYOLA UNIVERSITY MEDICAL CENTER
2160 S 1ST AVE
OUTPATIENT CENTER ROOM 1620
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax: 708-216-8059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LOYOLA UNIVERSITY MEDICAL CENTER

NPI # 1073859104
LBN Legal business name LOYOLA UNIVERSITY MEDICAL CENTER
Authorized official LARRY GOLDBERG - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2012
Last updated 07/06/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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