Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Parent organization
LOYOLA UNIVERSITY MEDICAL CENTER
Other names
Loyola Outpatient Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOYOLA UNIVERSITY MEDICAL CENTER
Authorized official
SHAWN VINCENT (CEO)
(708) 216-3215
Entity
Organization
Contact information
Practice address
2160 S. 1ST AVENUE, BLDG 150 ROOM 1600, MAYWOOD, IL 60153
(708) 717-5320
Mailing address
2160 S. 1ST AVENUE, BLDG 150 ROOM 1600, MAYWOOD, IL 60153
(708) 717-5320
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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