Active NPI
Loyola University Medical Center
Doing business as Foster G. McGaw Hospital
- Rehabilitation Hospital Unit
- Maywood, IL
National Provider Identifier
1750484721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 0004630
- Legal business name
- LOYOLA UNIVERSITY MEDICAL CENTER
- Doing business as
- Foster G. McGaw Hospital
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-0469
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry M Goldberg
- Title
- President & Ceo
- Phone
- (708) 216-3215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 0004630 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-0469
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500 | Other | IL | BLUE CROSS |
| 1671580 | Other | IL | BC FEDERAL HOME HEALTH |
| 9729 | Other | IL | BLUE CROSS HOME INFUSION |
| 0564080001 | Other | IL | MEDICARE HOME INFUSION |
Other names 1
- Foster G. McGaw Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1750484721",
"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",
"telephone_number": "708-216-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-0469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "708-216-3215"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "IL",
"license": "0004630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0500",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC FEDERAL HOME HEALTH",
"identifier": "1671580",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HOME INFUSION",
"identifier": "9729",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HOME INFUSION",
"identifier": "0564080001",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foster G. McGaw Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maywood, IL
- Loyola University Medical Center
- Loyola University Medical Center (Foster G. McGaw Hospital)
- Loyola University Medical Center (Loyola University Air Ambulance)
- Loyola University Medical Center
- Loyola University Medical Center (Cardinal Bernardin Cancer Center Pharmacy)
- Loyola University Medical Center
- Loyola University Medical Center
- Loyola University Medical Center (Loyola University Medical Center Durable Medical Equipment)
- Loyola University Medical Centter
- Loyola University Medical Ctr., Home Infusion
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.