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Organization
WEST SUBURBAN MEDICAL CENTER
Active
Organization
WEST SUBURBAN MEDICAL CENTER
Active
Other names
Berwyn Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PFIOTER (SYSTEM DIRECTOR)
(847) 813-3716
Entity
Organization
Contact information
Practice address
3245 S. GROVE AVENUE, STE 105 & 106, BERWYN, IL 60402
(708) 795-0383
(708) 484-9545
Mailing address
35001 EAGLE WAY, CHICAGO, IL 60678-1522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620469
BCBS GRP
IL
Enumeration date
07/02/2009
Last updated
07/02/2009
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