Loyola University Physician Foundation

NPI 1235148891 - General Practice - 208D00000X

NPI Details
NPI 1235148891
Enumeration Date 08/05/2006
Last Updated 09/02/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PETER PETER
Position VICE PRESIDENT AND CFO
Phone (800) 424-6307
Fax
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (800) 424-6307
Fax
Business Location
2 WESTBROOK CORPORATE CTR
S#600
WESTCHESTER IL, 60154-5702, US
Phone (800) 424-6307
Fax
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Loyola University Physician Foundation NPI is 1235148891, taxonomy code is 208D00000X Loyola University Physician Foundation physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number 1033115704 has the healthcare provider type.

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1235148891 NPI number is provided on an as is basis without warranty of any kind. 1235148891 is maintained by the National Plan & Provider Enumeration System. The contents of Loyola University Physician Foundation are for informational purposes only.