Loyola Medical Group LLC

NPI #1376041954 in Berwyn, Illinois

Provider Information

NPI Number: 1376041954
Entity Type: Organization
Organization Name: Loyola Medical Group LLC
Primary Specialty: General Practice
Enumeration Date: Jan 29, 2018
Last Updated: Nov 16, 2020

Practice Location

Address: 3249 OAK PARK AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3429
Phone: (708) 783-3125

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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