Loyola University Medical Center in Maywood - Renal Dialysis
Loyola University Medical Center - NPI 1063504165
Loyola University Medical Center is a Renal Dialysis in Maywood, Illinois. Loyola University Medical Center practices all healthcare services and medical treatments related to Renal Dialysis. The NPI Number for Loyola University Medical Center is 1063504165. The last update date is 2016-04-28.
Loyola University Medical Center's current location address is 2160 S First Ave, Maywood, Illinois. You can contact this provider via phone number 7082163510 and fax number 7082160593. The mailing address for Loyola University Medical Center is 2160 S First Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Loyola University Medical Center |
|---|---|
| Address | 2160 S First Ave, Maywood, Illinois |
| Phone Number | 7082163510 |
| Fax Number | 7082160593 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Goldberg M Larry |
| Telephone Number | 7082163215 |
NPI Number Detail
| NPI Number | 1063504165 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2016-04-28 |
Provider Mailing Address Detail
| Address | 2160 S First Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082163510 |
| Fax Number | 7082160593 |
Provider's Primary Taxonomy Detail
| Speciality | Renal Dialysis |
|---|---|
| Taxonomy | 2472R0900X |
| Licence No | 4630 |
|
Definition: Operates kidney dialysis equipment and provides specialized patient care under supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 564080001 | IL | MEDICARE HOME INFUSION | |
| 1671580 | IL | BC FEDERAL HOME HEALTH | |
| 500 | IL | BLUE CROSS | |
| 9729 | IL | BLUE CROSS HOME INFUSION |
Post Comment/ Review Below
What is the unique provider identifier assigned to Loyola University Medical Center?
The Loyola University Medical Center has been issued the NPI (National Provider Identifier) 1063504165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Loyola University Medical Center's physical address?
The Loyola University Medical Center is physically located at 2160 S First Ave, in the city of Maywood, IL, with the postal code 601533328.
What is the Loyola University Medical Center's specialty and taxonomy code?
The Loyola University Medical Center's specialty is Renal Dialysis, and the corresponding taxonomy code is 2472R0900X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063504165 to Loyola University Medical Center?
The Loyola University Medical Center received its 1063504165 assignment from the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the details related to Loyola University Medical Center most recently updated or revised?
The information pertaining to Loyola University Medical Center, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-28.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN