Organization
LOYOLA UNIVERSITY MEDICAL CTR., HOME INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERRI ARRIAGA (SUPERVISOR)
(708) 216-4039
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4552
(708) 216-6112
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4552
(708) 216-6112
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9729
COMMERCIAL INS HOMECARE
IL
Enumeration date
02/28/2007
Last updated
08/22/2020
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