LOYOLA UNIVERSITY MEDICAL CENTER (NPI# 1821346354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821346354 |
| Entity Type | Organization |
| Organization Name | LOYOLA UNIVERSITY MEDICAL CENTER |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7082164705 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-09-15 |
| Authorized Official Name | ASHLEY LOGAN (RESIDENCY ADMINITRATOR) |
| Authorized Official Telephone | 7082164705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | Hospitals |
| 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 |
| 1598175507 | Loyola University Medical Center | Eyewear Supplier (Equipment, not the service) | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2014-04-29 |
| 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 |
| 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 |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428701 | Ingalls Dialysis Center | Chronic Disease Hospital | 2930 Montvale Dr Ste B, Springfield, IL 62704-5376 | 2020-02-08 |
| 1538615836 | University of Illinois Hospital | Chronic Disease Hospital | 1463 W Winnemac Ave, Unit 2e, Chicago, IL 60640 | 2016-08-28 |
| 1124344874 | Rosalind Franklin University At Chicagomedical School | Chronic Disease Hospital | 113 W Arden Ln, Round Lake, IL 60073-5658 | 2010-04-19 |
| 1235269937 | Andres Cornejo | Chronic Disease Hospital | 215 N Forest Ave, Mt Prospect, IL 60056-2303 | 2007-03-06 |
| 1598010456 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2012-07-17 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1740568518 | Rush University Medical Center | Chronic Disease Hospital | 600 S Paulina St, Suite 527, Chicago, IL 60612-3806 | 2011-07-28 |
| 1033497110 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2011-07-24 |
| 1417265612 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-09-22 |
| 1861707846 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-08-13 |
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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.