Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA WAHEED (PHYSICIAN)
(630) 495-6766
Entity
Organization
Contact information
Practice address
1603 SOUTH NORBURY AVENUE, LOMBARD, IL 60148
(630) 495-6766
Mailing address
1603 SOUTH NORBURY AVENUE, LOMBARD, IL 60148
(630) 495-6766
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036120661
IL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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