DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LOYOLA UNIVERSITY MEDICAL CENTER

MEDICARE: LOYOLA UNIVERSITY MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital0004630IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11671580OTHERILBC FEDERAL HOME HEALTH
29729OTHERILBLUE CROSS HOME INFUSION
30500OTHERILBLUE CROSS

General Provider Information

NPI Number : 1376521575
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOYOLA UNIVERSITY MEDICAL CENTER
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-6404
Fax Number : 708-216-2235
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-6404
Fax Number : 708-216-2235
Authorized Official
Title or Position : PRESIDENT & CEO
Name : SHAWN VINCENT
Credential :
Telephone Number : 708-216-3215
Provider Enumeration Date : 01/06/2006
Last Update Date : 01/16/2026

Similar Medicare Providers

1104052513 — DR. NANCY BUNN BROWN M.D.
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-4403
Practice Fax:
1245198407 — AKSHITA GORANTLA
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 888-584-7888
Practice Fax:
1720946940 — IAN TIMOTHY KANG
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 888-584-7888
Practice Fax:
1144186032 — GILLIAN HECKLER
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-3229
Practice Fax:
1699941039 — DR. RAFAL LESZEK SOSNOWSKI D.O.
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-9000
Practice Fax:
1124985866 — ABIGAIL TUBMAN
Practice Location Address:
2160 S 1ST AVE RM 260
MAYWOOD, IL
60153-3328
Practice Phone: 708-327-2025
Practice Fax:

Directions to “LOYOLA UNIVERSITY MEDICAL CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.