National Provider Identifier Database

LOYOLA UNIVERSITY MEDICAL CENTER
Air Transport


Contact Information

LOYOLA UNIVERSITY MEDICAL CENTER
2160 S 1ST AVE
MAYWOOD, IL60153-3328
Phone: 708-216-0469
Fax: 708-216-0593
Website:
Specialty Taxonomy Code
* Air Transport 3416A0800X

* Indicates primary specialty

NPI Profile & details for LOYOLA UNIVERSITY MEDICAL CENTER

NPI Number 1528112794
Legal business name
LBN
LOYOLA UNIVERSITY MEDICAL CENTER
Authorized official JOHN MORDACH - (CFO)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 01/07/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 8 825001
  • IL Medicaid: 364015560004
  • IL Other: 0500 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LOYOLA UNIVERSITY MEDICAL CENTER

There are currently no reviews for LOYOLA UNIVERSITY MEDICAL CENTER


NPIdb - Home
v2.201