NPIMap

Organization Active NPI

Loyola University Medical Center

Doing business as Loyola University Medical Center Cancer Center

  • General Acute Care Hospital
  • Tinley Park, IL
National Provider Identifier
1427752013
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LOYOLA UNIVERSITY MEDICAL CENTER
Doing business as
Loyola University Medical Center Cancer Center
Practice address
17901 S la Grange Road
Ste 1000
Tinley Park, IL 60487-7226
Phone
(708) 216-0464
NPI assigned
Mar 28, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Neil Gupta
Title
Chief Medical Officer
Phone
(708) 216-0464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

17901 S la Grange Road
Ste 1000
Tinley Park, IL 60487-7226

Mailing address

17901 S la Grange Rd Ste 1000
Tinley Park, IL 60487-7226
Phone (708) 216-0464

Other names 1

  • Loyola University Medical Center Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061214000041 IL Part A Provider - Hospital 3779488903 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Riverside, IL; Homer Glen, IL; Oak Park, IL; Oakbrook Terrace, IL; Orland Park, IL; Park Ridge, IL; River Forest, IL; Tinley Park, IL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427752013. Details of each certification follow.

Hospital certification: CCN 140276

Legal name
LOYOLA UNIVERSITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 2, 1969
Last certification
Mar 9, 2007
Beds
507
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 13, 1995 in IL
Enrollment address
2160 S 1St Ave
Maywood, IL 60153-3328
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Children’s, Rehabilitation, Other

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Loyola University Medical CenterCCN 140276 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Loyola University Medic15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

17901 La Grange Rd
Ste 1000
Tinley Park, IL 60487
Phone (708) 216-0464

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Early Individual Corporate DirectorBoard Member Jan 1, 2022
Eva Maria Wojcik Individual Corporate DirectorBoard Member Sep 23, 2022
Melissa Lukasick Individual Corporate OfficerChief Financial Officer/ Treasurer Jun 28, 2019
Bertina Barnes Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Marc H Schwartz Individual Corporate OfficerChair Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
Maria J Pekar Individual Corporate OfficerAssistant Secretary Dec 14, 2012
Joy V Cunningham Individual Corporate DirectorBoard Member Jan 1, 2022
Jill Rappis Individual Corporate OfficerSecretary Jul 1, 2011
Adenrele Adekunbi Kolawole Individual W-2 Managing EmployeeDirector Cbo/Officer May 1, 2018
Loyola University Health System Organization, Maywood, IL Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 13, 1995 100%
Trinity Health Corporation Organization, Livonia, MI Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Stuart Kilpinen Individual Operational/Managerial ControlChain Home Office Administrator Dec 4, 2016
Tad Gomez Individual Corporate OfficerPresident Feb 26, 2019
Corporate DirectorBoard Member Feb 26, 2019
Pierre Monice Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,404

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,404

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1427752013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 S LA GRANGE RD STE 1000",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877226",
            "telephone_number": "708-216-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 S LA GRANGE ROAD",
            "address_2": "STE 1000",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877226",
            "telephone_number": "708-216-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "708-216-0464"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loyola University Medical Center Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loyola University Medical Center Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.