Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Parent organization
LOYOLA UNIVERSITY CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOYOLA UNIVERSITY CHICAGO
Authorized official
KATHY VANDLIK (INTERNAL MEDICINE RESIDENCY PROGRAM)
(708) 216-6497
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, LOYOLA OUTPATIENT CENTER, 4300, MAYWOOD, IL 60153-3328
(708) 216-6006
(708) 216-2683
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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