Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Other names
Foster G. McGaw Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VINCENT (PRESIDENT & CEO)
(708) 216-3215
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6404
(708) 216-2235
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6404
(708) 216-2235
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0004630
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
01/06/2006
Last updated
01/16/2026
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