Active NPI
Loyola University Medical Center
- Chronic Disease Hospital
- Maywood, IL
National Provider Identifier
1821346354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- Legal business name
- LOYOLA UNIVERSITY MEDICAL CENTER
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-4705
- NPI assigned
- Aug 15, 2012
- 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
- Ashley Logan
- Title
- Residency Adminitrator
- Phone
- (708) 216-4705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379203200000",
"number": "1821346354",
"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"
},
{
"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": "708-216-4705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOYOLA UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-15",
"last_updated": "2013-09-15",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "RESIDENCY ADMINITRATOR",
"authorized_official_telephone_number": "708-216-4705"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
- 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 (Foster G. McGaw Hospital)
- 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
- Loyola University Physician Foundation
- Loyola University School of Nursing - School-Based Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.