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DSH140276ER LOYOLA UNIVERSITY MEDICAL CENTER (Terminated)
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Main Details
Name
LOYOLA UNIVERSITY MEDICAL CENTER
Subdivision Name
Orland Park at Homer Glen - Medical - Orland Park - Medical
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140276ER
Medicare Provider Number
140276
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/9/2020
Last Recertification Date
8/29/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Loyola Medicine
Melissa M. Lukasick, CFO Illinois Region
(708) 216-5723
Primary Contact
Loyola Medicine
Zohra Saleem, Regional 340B Manager
(708) 216-3875
Addresses
Street Address
15750 Marian Drive
Homer Glen, IL 60491
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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