Organization
LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER
Active
Other names
Loyola University of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
LANAY SAMUELSON APRN (ASSOCIATE DIRECTOR)
(312) 915-6374
Entity
Organization
Contact information
Practice address
6439 N SHERIDAN RD, CHICAGO, IL 60626-5364
(773) 508-2530
Mailing address
6439 N SHERIDAN RD, CHICAGO, IL 60626-5364
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
1041S0200X
School Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
174H00000X
Health Educator
—
—
207Q00000X
Family Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
08/13/2025
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