Loyola University Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

125-050951 Issued in IL

Legal business name

LOYOLA UNIVERSITY MEDICAL CENTER

Practice address

2630 N Hampden CT
Apt # 501
Chicago, IL 60614-1769

Phone

(303) 246-5891

NPI assigned

Jul 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phoebe Afoma Ezidinma, M.D

Title

Resident Physician

Phone

(708) 216-9000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1023274115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 N HAMPDEN CT",
            "address_2": "APT # 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141769",
            "telephone_number": "303-246-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 N HAMPDEN CT",
            "address_2": "APT # 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141769",
            "telephone_number": "303-246-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "EZIDINMA",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_middle_name": "AFOMA",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "708-216-9000",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125-050951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Egwin Loya, RPH
• Mariah Rae Loya
• Vincent Surinder Loyal, MD
• Emma Loyfman, O.D.
• Loyola University Chicago Wellness Center
• Alexis Nicole Loza, MS, NCC
• Julie Loza, MD
• Lisaura D Lozada-Goode, LCPC, BC-DMT
• Deana M Lozada, PA
• Mario G. Lozano-Franco, MD

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.