Organization · Type 2 NPI
Loyola Medical Group LLC
General Practice Physician · Berwyn, IL
NPI number
1376041954
Active
Practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1376041954
Loyola Medical Group LLC's National Provider Identifier is 1376041954, issued on Jan 29, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Berwyn, IL. The record was last updated on Jul 1, 2026.