Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY M GOLDBERG (CEO)
(708) 216-3215
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, OUTPATIENT CENTER ROOM 1620, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-8059
Mailing address
2160 S 1ST AVE, OUTPATIENT CENTER ROOM 1620, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-8059
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
07/06/2015
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