Loyola University Medical Center

NPI #1104462126 in Maywood, Illinois

Provider Information

NPI Number
1104462126
Entity Type
Organization
Organization Name
Loyola University Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 25, 2019
Last Updated
Nov 25, 2019

Practice Location

Address
2160 S 1ST AVE RM 150-1610
ZIP Code
60153-3328
Phone
(708) 216-3743

Authorized Official

Name
ADENRELE ADEKUNBI KOLAWOLE
Title
DIRECTOR BILLING OPERATIONS
Phone
(708) 216-3743

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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