LOYOLA UNIVERSITY OF CHICAGO NPI 1659951481

NPI Information

NPI: 1659951481
Provider Name: LOYOLA UNIVERSITY OF CHICAGO
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D0961574

Address:
6439 N SHERIDAN RD
CHICAGO, IL
ZIP 60626
Phone: (773) 508-2530
Get Directions

LOYOLA UNIVERSITY OF CHICAGO is a primary care nurse practitioner in Chicago, IL. LOYOLA UNIVERSITY OF CHICAGO NPI is 1659951481. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6439 N SHERIDAN RD
CHICAGO, IL
ZIP 60626-364
Phone: (773) 508-2530

The provider's authorized official is Lanay Samuelson .
The authorized official title is Assistant Director and has the following contact phone number (312) 915-6374.

The CLIA number assigned to this NPI record is 14D0961574 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/14/2021 and was last updated on 4/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TS0200X	Psychologist	School	No
2	1041S0200X	Social Worker	School	No
3	133V00000X	Dietitian, Registered		No
4	163W00000X	Registered Nurse		No
5	207Q00000X	Family Medicine		No
6	207VG0400X	Obstetrics & Gynecology	Gynecology	No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	No
8	363LP2300X	Nurse Practitioner	Primary Care	Yes
9	174H00000X	Health Educator		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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