Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Loyola University Medical Center

Organization Eyewear Supplier · NPI 1073859104

Loyola University Medical Center is an Eyewear Supplier in Maywood, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

2160 S 1st Ave Outpatient Ctr Rm 1620
Maywood, IL 60153-3328
Phone: (708) 216-9000
Fax: (708) 216-8059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1073859104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Goldberg — Ceo · (708) 216-3215
NPI enumeratedDecember 18, 2012
Last updated in NPPESJuly 6, 2015
Mailing address2160 S 1st Ave, Outpatient Center Room 1620, Maywood, IL 60153-3328