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Organization

LOYOLA UNIVERSITY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHOEBE AFOMA EZIDINMA M.D (RESIDENT PHYSICIAN)
(708) 216-9000
Entity
Organization

Contact information

Practice address
2630 N HAMPDEN CT, APT # 501, CHICAGO, IL 60614-1769
(303) 246-5891
Mailing address
2630 N HAMPDEN CT, APT # 501, CHICAGO, IL 60614-1769
(303) 246-5891

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125-050951
IL

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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