LOYOLA UNIVERSITY SCHOOL OF NURSING - SCHOOL-BASED HEALTH CENTER NPI 1558690628

NPI Information

NPI: 1558690628
Provider Name: LOYOLA UNIVERSITY SCHOOL OF NURSING - SCHOOL-BASED HEALTH CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
807 SOUTH FIRST AVENUE
SCHOOL-BASED HEALTH CENTER AT PROVISO EAST HIGH SCHOOL
MAYWOOD, IL
ZIP 60153
Phone: (708) 449-9522
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LOYOLA UNIVERSITY SCHOOL OF NURSING - SCHOOL-BASED HEALTH CENTER is a primary care clinic center in Maywood, IL. LOYOLA UNIVERSITY SCHOOL OF NURSING - SCHOOL-BASED HEALTH CENTER NPI is 1558690628. The provider is registered as an organization entity type.

The provider's business location address is:

807 SOUTH FIRST AVENUE
SCHOOL-BASED HEALTH CENTER AT PROVISO EAST HIGH SCHOOL
MAYWOOD, IL
ZIP 60153
Phone: (708) 449-9522
Fax: (708) 449-9525

The provider's authorized official is Diana P. Hackbarth .
The authorized official title is Project Director: Loyola University and has the following contact phone number (708) 216-3670.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 12/18/2009.

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	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

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