Organization Name: | LOYOLA UNIVERSITY MEDICAL CENTER |
NPI Number: | 1912042029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE KREMPEL (VICE PRESIDENT HEALTH CARE SERVICES) |
Mailing Address: | 2160 S 1st Ave Maywood |
State: | IL US |
Postal Code: | 601533304 |
Phone Number: | 7082160435 |
Fax Number: | 7082161188 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 203.000380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |