LOYOLA UNIVERSITY MEDICAL CENTER; NPI #1528112794

Contact Information

LOYOLA UNIVERSITY MEDICAL CENTER

2160 S 1ST AVE
MAYWOOD, IL 60153-3328

Phone: 708-216-0469
Fax: 708-216-0593
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LOYOLA UNIVERSITY MEDICAL CENTER

NPI Number 1528112794

LBN Legal business name LOYOLA UNIVERSITY MEDICAL CENTER

Authorized official JOHN MORDACH - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/23/2007

Last updated 01/07/2010 - About 16 years ago

Identifiers

IL	License #	8 825001
IL	Medicaid	364015560004
IL	Other	0500	BLUE CROSS

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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LOYOLA UNIVERSITY MEDICAL CENTER

Contact Information

Specialty

Air Transport

NPI Profile & details for LOYOLA UNIVERSITY MEDICAL CENTER

Reviews for LOYOLA UNIVERSITY MEDICAL CENTER