1598175507 NPI number — LOYOLA UNIVERSITY MEDICAL CENTER

Table of content: (NPI 1598175507)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598175507 NPI number — LOYOLA UNIVERSITY MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOYOLA UNIVERSITY MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LOYOLA UNIVERSITY MEDICAL CTR OPTICAL SHOP AT BURR RIDGE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598175507
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2160 S. FIRST AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYWOOD
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60153-3304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-216-8686
Provider Business Mailing Address Fax Number:
708-216-8059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6800 N FRONTAGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURR RIDGE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60527-7819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-327-1004
Provider Business Practice Location Address Fax Number:
708-327-1003
Provider Enumeration Date:
04/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
SIAL
Authorized Official First Name:
AJAY
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
708-216-4252

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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