LOYOLA UNIVERSITY MEDICAL CENTER is an eyewear supplier in Maywood, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LOYOLA UNIVERSITY MEDICAL CENTER NPI is 1073859104. The provider is registered as an organization entity type.
The provider's business location address is:
2160 S 1ST AVE
OUTPATIENT CENTER ROOM 1620
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-9000
Fax: (708) 216-8059
The provider's authorized official is Larry M Goldberg .
The authorized official title is Ceo and has the following contact phone number (708) 216-3215.
The CLIA number assigned to this NPI record is 14D0882999 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 12/18/2012 and was last updated on 7/6/2015.