LOYOLA UNIVERSITY MEDICAL CENTER (NPI# 1598175507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598175507 |
| Entity Type | Organization |
| Organization Name | LOYOLA UNIVERSITY MEDICAL CENTER |
| Other Organization Name | LOYOLA UNIVERSITY MEDICAL CTR OPTICAL SHOP AT BURR RIDGE |
| Practice Address |
6800 N Frontage Rd Burr Ridge IL 60527-7819 |
| Mailing Address |
2160 S. First Avenue Maywood IL 60153-3304 |
| Practice Telephone | 7083271004 |
| Practice Fax Number | 7083271003 |
| Mailing Telephone | 7082168686 |
| Mailing Fax Number | 7082168059 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MR. AJAY S. SIAL (CFO) |
| Authorized Official Telephone | 7082164252 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOYOLA UNIVERSITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Loyola University Medical Ctr Optical Shop at Burr Ridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1982852091 | Loyola University Medical Center | General Acute Care Hospital | 1603 South Norbury Avenue, Lombard, IL 60148 | 2008-09-03 |
| 1437305117 | Loyola University Medical Center | General Acute Care Hospital | 938 North Blvd, Suite 405, Oak Park, IL 60301-1254 | 2008-08-13 |
| 1023274115 | Loyola University Medical Center | General Acute Care Hospital | 2630 N Hampden Ct, Apt # 501, Chicago, IL 60614-1769 | 2008-07-29 |
| 1255483962 | Loyola University Medical Center | Home Infusion | 9608 S Roberts Rd, Hickory Hills, IL 60457-2238 | 2007-01-16 |
| 1528488897 | Loyola University Medical Center | General Acute Care Hospital | 2160 S 1st Ave, Loyola Outpatient Center, 4300, Maywood, IL 60153-3328 | 2014-04-24 |
| 1073859104 | Loyola University Medical Center | Eyewear Supplier (Equipment, not the service) | 2160 S 1st Ave, Outpatient Center Room 1620, Maywood, IL 60153-3328 | 2012-12-18 |
| 1821346354 | Loyola University Medical Center | Chronic Disease Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-08-15 |
| 1235415787 | Loyola University Medical Center | General Acute Care Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-10-28 |
| 1356631154 | Loyola University Medical Center | General Acute Care Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOYOLA UNIVERSITY MEDICAL CENTER | 2160 S First Ave, Maywood, IL 60153-3328 |
| Street Address |
6800 N FRONTAGE RD |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-7819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154476299 | Patricia Higgins | Family Medicine | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2007-01-25 |
| 1316321359 | Jasmin Ulit | Nurse Practitioner | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2015-07-18 |
| 1972854917 | Sarunas A Skadas | Physical Therapist | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2012-10-01 |
| 1326399270 | Christopher Rocci | Physical Therapist | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2012-10-01 |
| 1336490622 | David Spear | Occupational Therapist | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2012-09-26 |
| 1750637567 | Cory A Nellis | Occupational Therapist | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2012-07-30 |
| 1023364833 | Stefanie Marie Strojny | Occupational Therapist | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2012-07-30 |
| 1376869016 | Jeanne Fangman | Physical Therapist | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2010-04-19 |
| 1972779007 | Kathleen B Raschka | Family Medicine | 6800 N Frontage Rd, Immediate Care, Burr Ridge, IL 60527-7819 | 2008-05-08 |
| 1396911418 | Rebecca Lynn Dionisio | Emergency Medicine | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699956383 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 430 Village Center Dr # 180, Burr Ridge, IL 60527 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
| 1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
| 1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
| 1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
| 1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
| 1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
| 1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.