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Organization
LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER
Active
Organization
LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER
Active
Other names
Loyola University of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
LANAY SAMUELSON APRN (ASSOCIATE DIRECTOR)
(312) 915-6374
Entity
Organization
Contact information
Practice address
6439 N SHERIDAN RD, CHICAGO, IL 60626-5364
(773) 508-2530
Mailing address
6439 N SHERIDAN RD, CHICAGO, IL 60626-5364
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
1041S0200X
School Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
174H00000X
Health Educator
—
—
207Q00000X
Family Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
08/13/2025
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