| Organization Name: | LOYOLA UNIVERSITY MEDICAL CENTER |
| NPI Number: | 1023296357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID SCHILLING (RESIDENCY PROGRAM DIRECTOR) |
| Mailing Address: | 2160 S 1st Ave Maywood |
| State: | IL US |
| Postal Code: | 601533328 |
| Phone Number: | 7082165059 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2008 |
| NPI Last Update Date: | 02/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |