LOYOLA UNIVERSITY MEDICAL CENTER
NPI 1063504165
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Maywood, IL

NPI Status: Active since September 28, 2006

Contact Information

2160 S FIRST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9000
Fax: (708) 216-0593

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About LOYOLA UNIVERSITY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Loyola University Medical Center, a provider established in Maywood, Illinois operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1063504165 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 0005801 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. Loyola University Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Melissa M Lukasick (Chief Financial Officer)

NPI
1063504165
Provider Legal Name
LOYOLA UNIVERSITY MEDICAL CENTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2160 S FIRST AVE MAYWOOD, IL 60153
Location Phone
(708) 216-9000
Location Fax
(708) 216-0593
Mailing Address
2160 S FIRST AVE MAYWOOD, IL 60153
Mailing Phone
(708) 216-3510
Mailing Fax
(708) 216-0593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2006
Last Update Date
06-16-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
0005801
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12472R0900XTechnologists, Technicians & Other Technical Service Providers

Technician, Other
Renal Dialysis

0004630 (IL)
2282N00000XHospitals

General Acute Care Hospital

0005801 (IL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELISSA M LUKASICK

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(708) 216-5723

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1671580OTHER (01)ILBC FEDERAL HOME HEALTH
0564080001OTHER (01)ILMEDICARE HOME INFUSION
9729OTHER (01)ILBLUE CROSS HOME INFUSION
500OTHER (01)ILBLUE CROSS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063504165, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 0 + 0 + 8 + 1 + 1 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1063504165.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology (Pediatric Otolaryngology)
2160 S FIRST AVE, MAGUIRE CENTER 1870
MAYWOOD, IL 60153
Internal Medicine (Nephrology)
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Internal Medicine (Hematology & Oncology)
2160 S FIRST AVE, LUH - NORTH ENT., RM. 7604
MAYWOOD, IL 60153
Internal Medicine (Hematology & Oncology)
2160 S FIRST AVE, (LUH - NORTH ENT., RM 7604)
MAYWOOD, IL 60153
Internal Medicine (Hematology & Oncology)
2160 S FIRST AVE, (LUH- NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, (LUH - NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, (LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
Internal Medicine (Rheumatology)
2160 S FIRST AVE, LUH - NORTH ENT. ROOM 7604
MAYWOOD, IL 60153
Internal Medicine (Rheumatology)
2160 S FIRST AVE, (FAHEY BLDG., RM. 113)
MAYWOOD, IL 60153
Internal Medicine (Nephrology)
2160 S FIRST AVE, (LUH - NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
Radiology (Radiation Oncology)
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 2944)
MAYWOOD, IL 60153
Radiology (Diagnostic Radiology)
2160 S FIRST AVE, (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
Radiology (Diagnostic Radiology)
2160 S FIRST AVE, (MCGAW BLDG, RM 47)
MAYWOOD, IL 60153
Neurological Surgery
2160 S FIRST AVE, MAGUIRE CENTER, RM 1900
MAYWOOD, IL 60153
Internal Medicine (Nephrology)
2160 S FIRST AVE, (LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
Radiology (Diagnostic Radiology)
2160 S FIRST AVE, MCGAW ENT., RM. 47
MAYWOOD, IL 60153
Radiology (Diagnostic Radiology)
2160 S FIRST AVE, (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
Radiology (Diagnostic Radiology)
2160 S FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153
Internal Medicine (Gastroenterology)
2160 S FIRST AVE, 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063504165, enumerated as an "organization" on September 28, 2006.

The provider is located at 2160 S FIRST AVE MAYWOOD, IL 60153 and the phone number is (708) 216-9000.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.