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Organization
LOYOLA UNIVERSITY CHILDREN'S HOSPITAL
Active
Organization
LOYOLA UNIVERSITY CHILDREN'S HOSPITAL
Active
Other names
Loyola University Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M LUKASICK (CHIEF FINANCIAL OFFICER)
(708) 216-5723
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-0469
(708) 216-0593
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500
BLUE CROSS
IL
01
—
1671580
BC FEDERAL HOME HEALTH
IL
01
—
9729
BLUE CROSS HOME INFUSION
IL
Enumeration date
11/13/2006
Last updated
08/14/2024
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