# LOYOLA UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235415787
- **Authorized official:** MS. JAIME DENISE FIRKUS ANP-BC (APN)
- **Authorized official phone:** (708) 216-6092

## Contact information

- **Practice address:** 2160 S 1ST AVE, MAYWOOD, IL 60153-3328
- **Practice address phone:** (708) 216-6092
- **Mailing address:** 2160 S 1ST AVE, MAYWOOD, IL 60153-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 209.008908 | IL | Yes |

## Other

- **Enumeration date:** 10/28/2011
- **Last updated:** 10/28/2011