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Organization
WESTLAKE EMERGENCY ROOM PROVIDERS, SC
Active
Organization
WESTLAKE EMERGENCY ROOM PROVIDERS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE E. WAKIM MD (PRESIDENT)
(630) 472-8800
Entity
Organization
Contact information
Practice address
WESTLAKE COMMUNITY HOSPITAL, 1225 W. LAKE STREET, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
WESTLAKE EMERGENCY ROOM PROVIDERS, SC, DEPT 10303, PO BOX 87618, CHICAGO, IL 60680-0618
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
08/14/2019
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