Organization · Type 2 NPI
Loyola University Medical Center
Eyewear Supplier · Maywood, IL
NPI number
1073859104
Active
Practice location
2160 S 1st Ave, Outpatient Center Room 1620
Maywood, IL 60153-3328
Fax (708) 216-8059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1073859104
Loyola University Medical Center's National Provider Identifier is 1073859104, issued on Dec 18, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Maywood, IL. The record was last updated on Jul 6, 2015.