Loyola University Medical Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LOYOLA UNIVERSITY MEDICAL CENTER

Practice address

6800 N Frontage Rd
Burr Ridge, IL 60527-7819

Phone

(708) 327-1004

Fax

(708) 327-1003

NPI assigned

Apr 29, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

LOYOLA UNIVERSITY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Ajay S. Sial

Title

Cfo

Phone

(708) 216-4252

Specialties & licenses 1

Addresses

Other names 1

• Loyola University Medical Ctr Optical Shop at Burr Ridge Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Loyola University Medic

Member of 1

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

• Trinity Health - Michigan

  dba Trinity Health Pharmacy - Reichert Center

  • Community/Retail Pharmacy
  • Ypsilanti, MI
  • NPI 1588736375

  Member Of

  NPD member

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1598175507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S. FIRST AVENUE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533304",
            "telephone_number": "708-216-8686",
            "fax_number": "708-216-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N FRONTAGE RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277819",
            "telephone_number": "708-327-1004",
            "fax_number": "708-327-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SIAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-216-4252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loyola University Medical Ctr Optical Shop at Burr Ridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Loduca, MD
• Ashley Rose Lofky
• Logan Multispecialty Clinic S C
• Alexandria Lohr
• John J Lopez, MD
• Luke Hooker, DMD, P.C.
• Lumina Counseling LLC
• Angelo Mikhael Varquez Luna, P.T.
• Luxottica of America Inc. (LensCrafters #5392)
• Heber Macmahon, MD

• Eyewear Supplier in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.