Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAIME DENISE FIRKUS ANP-BC (APN)
(708) 216-6092
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6092
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209.008908
IL
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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