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Loyola University Medical Center

Organization Active NPI Community/Retail Pharmacy · Maywood, IL

NPI 1184789299 · NPPES record last updated Jan 13, 2017

Key facts

NPI
1184789299
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
054017263 (IL)
Legal business name
LOYOLA UNIVERSITY MEDICAL CENTER
Practice address
2160 S 1St Ave
BLDG 107
Maywood, IL 60153-3328
Phone
(708) 216-9100
Fax
(708) 216-1554
NPI assigned
Dec 27, 2006
Organization subpart
No

Authorized official

Name
Larry Goldberg
Title
President and Ceo
Phone
(708) 216-0588

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1,181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,181

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
RML Specialty Hospital
Hinsdale, IL · CCN 142010		 Hospital Limited Partnership Interest (49.5%) Aug 1, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251029004154 IL DME Supplier - Pharmacy
DME Supplier - Hospital		 3779488903 Practice locations: Maywood, IL

National Provider Directory

Tax ID family
Loyola Univ Medical Cen (15 organizations share this tax ID)

Locations

7511 Lemont Rd
Darien, IL 60561
Phone (630) 985-4010

800 Biesterfield Rd
Ste 2011
Elk Grove Village, IL 60007
Phone (847) 439-2314

300 N York St
Elmhurst, IL 60126
Phone (708) 327-7030

2166 Gladstone Ct
Ste A
Glendale Heights, IL 60139
Phone (630) 307-3637

2166 Gladstone Ct
#A
Glendale Heights, IL 60139
Phone (630) 307-3637

1555 N Barrington Rd
Ste 415
Hoffman Estates, IL 60169
Phone (630) 307-0088

2160 S 1st Ave
Rm 155
Maywood, IL 60153
Phone (708) 327-2277

2160 S 1st Ave
Bldg 104
Maywood, IL 60153
Phone (708) 216-1830

2160 S 1st Ave
Fl Rms
Maywood, IL 60153

1219 W Roosevelt Rd
Maywood, IL 60153
Phone (708) 216-5300

2160 S 1st Ave
Bldg 107
Maywood, IL 60153
Phone (708) 216-9100

4305 W Medical Center Dr
Ste 3
McHenry, IL 60050
Phone (815) 759-4612

715 W North Ave
Melrose Park, IL 60160
Phone (708) 450-4554

675 W North Ave
Ste 201
Melrose Park, IL 60160
Phone (708) 450-4994

8780 W Golf Rd
Ste 320
Niles, IL 60714
Phone (847) 983-8891

1S224 Summit Ave
Ste 101
Oakbrook Terrace, IL 60181
Phone (630) 953-6600

1S224 Summit Ave
Ste 300
Oakbrook Terrace, IL 60181
Phone (630) 953-6600

221 NE Glen Oak Ave
Ste 217
Peoria, IL 61636

17901 La Grange Rd
Ste 3000
Tinley Park, IL 60487
Phone (708) 327-8300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054017263 IL Yes

Addresses

Primary practice location

2160 S 1St Ave
BLDG 107
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
BLDG 107
Maywood, IL 60153-3328
Phone (708) 216-9100

Other identifiers

IdentifierTypeStateIssuer
2024686OtherPK

Other names

  • MULCAHY PHARMACY Doing business as

Other providers in Maywood, IL

All providers in Maywood, IL · Community/Retail Pharmacy in Illinois

Sources for this page

Verify at the official NPI Registry.