# LOYOLA UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foster G. McGaw Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750484721
- **Authorized official:** LARRY M GOLDBERG (PRESIDENT & CEO)
- **Authorized official phone:** (708) 216-3215

## Contact information

- **Practice address:** 2160 S 1ST AVE, MAYWOOD, IL 60153-3328
- **Practice address phone:** (708) 216-0469
- **Mailing address:** 2160 S 1ST AVE, MAYWOOD, IL 60153-3328
- **Mailing address phone:** (708) 216-0469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 0004630 | IL | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 11/06/2013