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Organization
WEST SUBURBAN MEDICAL CENTER
Active
Organization
WEST SUBURBAN MEDICAL CENTER
Active
Other names
Associates in Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PFISTER (SYSTEM DIRECTOR PATIENT FINANCIAL S)
(847) 813-3716
Entity
Organization
Contact information
Practice address
3 ERIE CT, SUITE 700, OAK PARK, IL 60302-2519
(708) 763-1222
(708) 763-1471
Mailing address
7411 LAKE ST, SUITE L140, RIVER FOREST, IL 60305-1876
(708) 763-5531
(708) 763-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623162
BCBS GROUP NUMBER
IL
01
—
548570
MEDICARE GROUP NUMBER
IL
Enumeration date
10/17/2006
Last updated
12/31/2008
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