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

Loyola University Physician Foundation

Organization General Practice Physician · NPI 1235148891

Loyola University Physician Foundation is a General Practice Physician in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (800) 424-6307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (IL)

Record details

NPI number1235148891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Gouws — Vice President And Cfo · (708) 216-3981
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 2, 2008
Mailing address2 Westbrook Corporate Ctr, S#600, Westchester, IL 60154-5702

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