Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Loyola University Physician Foundation

Organization General Practice Physician · NPI 1235148891

Loyola University Physician Foundation provides General Practice Physician services in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328 Not confirmed with CMS for 18 years — call before visiting
Phone: (800) 424-6307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (IL)

Record details

NPI number1235148891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Gouws — Vice President And Cfo · (708) 216-3981
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 2, 2008
Mailing address2 Westbrook Corporate Ctr, S#600, Westchester, IL 60154-5702

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