# LOYOLA UNIVERSITY MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOYOLA UNIVERSITY CHICAGO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528488897
- **Legal business name:** LOYOLA UNIVERSITY CHICAGO
- **Authorized official:** KATHY VANDLIK (INTERNAL MEDICINE RESIDENCY PROGRAM)
- **Authorized official phone:** (708) 216-6497

## Contact information

- **Practice address:** 2160 S 1ST AVE, LOYOLA OUTPATIENT CENTER, 4300, MAYWOOD, IL 60153-3328
- **Practice address phone:** (708) 216-6006
- **Practice address fax:** (708) 216-2683
- **Mailing address:** 2160 S 1ST AVE, MAYWOOD, IL 60153-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2014
- **Last updated:** 04/24/2014