NPI 1235415787

Loyola University Medical Center

Organisation General Acute Care Hospital Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (708) 216-6092

Authorised official

Name: Jaime Denise Firkus
Title: Apn
Phone: (708) 216-6092

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 209.008908 (IL)

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Registry record

NPI: 1235415787
Entity type: Organization
NPI issued: 28 Oct 2011
Record last updated: 28 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.