Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LOYOLA MEDICAL GROUP LLC
NPI 1376041954
General Practice in Berwyn, IL

Q: What is Loyola Medical Group LLC's NPI number?

The NPI number for Loyola Medical Group LLC is 1376041954. It was assigned to this organization in the NPPES registry on January 29, 2018.

Q: What is Loyola Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 29, 2018

3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-3125 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2020, Feb 2, 2019 (2 updates tracked since 2019).

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About Loyola Medical Group Llc NPPES

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

LOYOLA MEDICAL GROUP LLC (NPI 1376041954) is a healthcare organization registered as a general practice in Berwyn, Illinois and active in the NPI registry since January 2018. The organization lists Adenrele Adekunbi Kolawole, Director Billing Operations, as its authorized official.

NPPES Registry Identity

NPI1376041954

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLOYOLA MEDICAL GROUP LLC

Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · Fax (708) 216-8059

Phone(708) 783-3125

Organization SubpartNo

Authorized OfficialAdenrele Adekunbi KolawoleDirector Billing Operations · (708) 216-3743

Enumeration DateJanuary 29, 2018

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1376041954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3249 OAK PARK AVE, Berwyn, IL 60402

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

MRS. DANIELLE GENGO R.D.

Dietitian, Registered

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3077

GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION

General Practice

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3125

MARIA RAMIREZ

Family Medicine

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-9100

PATRICIA NAUGHTON MD

Obstetrics & Gynecology

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-3792

PAUL G FAINE M.D.

Emergency Medicine

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-9100

DR. BHARTI RAIZADA M.D,

Anesthesiology

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-6339

SHEENA REDDY KODAVALURU M.D.

Internal Medicine

3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402

Cook County (708) 783-9100

DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD

Student in an Organized Health Care Education/Training Program

3249 OAK PARK AVE
BERWYN, IL 60402

Cook County (708) 783-6566

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 Medical Group LLC's NPI number?

The NPI number for Loyola Medical Group LLC is 1376041954. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Loyola Medical Group LLC located?

Loyola Medical Group LLC is located at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-3125.

What is Loyola Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Loyola Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Loyola Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Loyola Medical Group LLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.