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LOYOLA UNIVERSITY MEDICAL CENTER
NPI 1073859104
Eyewear Supplier in Maywood, IL

Active since December 18, 2012CLIA 14D0668254 · Accreditation
2160 S 1ST AVE, OUTPATIENT CENTER ROOM 1620, MAYWOOD, IL 60153(708) 216-9000(708) 216-8059 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loyola University Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOYOLA UNIVERSITY MEDICAL CENTER (NPI 1073859104) is a healthcare organization registered as an eyewear supplier in Maywood, Illinois and active in the NPI registry since December 2012. The organization holds an CLIA Accreditation certificate valid through October 19, 2026 and lists Larry M Goldberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073859104
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLOYOLA UNIVERSITY MEDICAL CENTER
Location Address2160 S 1ST AVE, OUTPATIENT CENTER ROOM 1620Maywood, IL 60153-3328
Mailing Address2160 S 1st Ave, Outpatient Center Room 1620Maywood, IL 60153-3328 · (708) 216-9000 · Fax (708) 216-8059
Phone(708) 216-9000
Fax(708) 216-8059
Organization SubpartNo
Authorized OfficialLarry M GoldbergCeo · (708) 216-3215
Enumeration DateDecember 18, 2012
Last NPPES UpdateJuly 6, 2015
✔ NPI 1073859104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2160 S 1ST AVE, Maywood, IL 60153
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification140276IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0668254

Loyola University Medical Center-Central Lab · Maywood, IL
Active · expires Oct 19, 2026
CLIA Number14D0668254
Laboratory TypeHospital
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Eva M. Wojcik
Laboratory Phone(708) 216-5255
Laboratory LocationLoyola University Medical Center-Central Lab2160 S First Ave - Bldg 110 - Flr 2, 4, 5, Maywood, IL 60153
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loyola University Medical Center's NPI number?

The NPI number for Loyola University Medical Center is 1073859104. It was assigned to this organization in the NPPES registry on December 18, 2012.

Where is Loyola University Medical Center located?

Loyola University Medical Center is located at 2160 S 1st Ave Outpatient Center Room 1620, Maywood, IL 60153. The listed phone number is (708) 216-9000.

What is Loyola University Medical Center's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Loyola University Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0668254) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loyola University Medical Center was last updated on July 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.