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

Loyola University Medical Center

Organization General Practice Physician · NPI 1336159961

Loyola University Medical Center is a General Practice Physician in Maywood, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-3215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17901 S La Grange Road, Tinley Park, IL 60487 — (708) 327-8300

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (IL)
Urgent Care Clinic/Center Taxonomy 261QU0200X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1336159961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Vincent — President & Ceo · (708) 216-3215
NPI enumeratedAugust 8, 2006
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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