OrganizationActive
Loyola University Medical Center
NPI 1164200275 · Specialty Pharmacy · Maywood, IL
Provider details
- NPI number
- 1164200275
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Parent organization
- Loyola University Medical Center
- Organization subpart
- Yes
- Authorized official
- Shawn Vincent, Ceo(708) 216-3215
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2160 S. 1st Avenue
Bldg 150 Room 1600
Maywood, IL 60153
Phone: (708) 717-5320
Street-level locationGet directions
Mailing address
2160 S. 1st Avenue
Maywood, IL 60153
Other names (DBA / former)
- Doing business as
- Loyola Outpatient Center
Registry dates
- Enumerated
- 2023-09-19
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.