Loyola Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LOYOLA MEDICAL GROUP LLC

Practice address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone

(708) 783-3125

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Adenrele Adekunbi Kolawole

Title

Director Billing Operations

Phone

(708) 216-3743

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

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

• Loyola University Medical Center

  • Community/Retail Pharmacy
  • Maywood, IL
  • NPI 1104462126

  Member Of

  NPD member

Locations

Practitioners 242

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

• Marian Giselle Acevedo Alvarez, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Maywood, IL
  • NPI 1710271341

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Mohammed T Ali, M.D.

  • Child & Adolescent Psychiatry Physician
  • Arlington Heights, IL
  • NPI 1033215868
  Medicare reassignment Care Compare group NPD
• Ramon Alvarez-Leonardo, MD

  • Psychiatry Physician
  • Aurora, IL
  • NPI 1861425365
  Medicare reassignment Care Compare group NPD
• Parag Kiran Amin, DO

  • Internal Medicine Physician
  • McHenry, IL
  • NPI 1639107667
  Medicare reassignment Care Compare group NPD
• Melissa Marie Arredondo, M.D.

  • Internal Medicine Physician
  • Berwyn, IL
  • NPI 1508120981
  Medicare reassignment Care Compare group NPD
• Abraham Nereim Baker

  • Internal Medicine Physician
  • Maywood, IL
  • NPI 1104404748
  Medicare reassignment Care Compare group NPD
• Darius Bartkus, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093836629
  Medicare reassignment Care Compare group NPD
• Enrique Julian Blanco Martinez, MD

  • Family Medicine Physician
  • Berwyn, IL
  • NPI 1518606227
  Medicare reassignment Care Compare group NPD
• Candace R Blank, AU.D.

  • Audiologist
  • Maywood, IL
  • NPI 1194056564
  Medicare reassignment Care Compare group NPD
• Joseph M Bresnahan, M.D.

  • Gastroenterology Physician
  • Riverside, IL
  • NPI 1710925532
  Medicare reassignment Care Compare group NPD
• Robert Brochin, M.D.

  • Orthopaedic Surgery Physician
  • Berwyn, IL
  • NPI 1225423791
  Medicare reassignment Care Compare group NPD
• Deslyn S Browne, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1083827810
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1376041954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "fax_number": "708-216-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "KOLAWOLE",
        "authorized_official_first_name": "ADENRELE",
        "authorized_official_middle_name": "ADEKUNBI",
        "authorized_official_title_or_position": "DIRECTOR BILLING OPERATIONS",
        "authorized_official_telephone_number": "708-216-3743"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd",
            "address_2": "#302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Joseph Lo
• Laurens A. Lohmann, M.D.
• Sarah Anne Long
• Jaime Javier Lopez, LCPC
• Joaquin Lopez, M.D.
• Simbiat Oluwapelumi Lugboso
• Luis a Osorio M.D.S.C.
• Sigita Lukauskaite
• Amy Hui Luo, DO
• Kerry J Lusignan, LCSW

• General Practice Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.