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Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Parent organization
LOYOLA UNIVERSITY MEDICAL CENTER
Other names
Loyola Pharmacy at Tinley Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOYOLA UNIVERSITY MEDICAL CENTER
Authorized official
DR. NEIL GUPTA (CHIEF MEDICAL OFFICER)
(708) 216-0464
Entity
Organization
Contact information
Practice address
17901 S. LA GRANGE ROAD, RM 1112, TINLEY PARK, IL 60487-7226
(708) 327-8200
(708) 327-8297
Mailing address
17901 S. LA GRANGE ROAD, RM 1112, TINLEY PARK, IL 60487-7226
(708) 327-8200
(708) 327-8297
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
05/19/2023
Last updated
09/22/2023
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