Organization
WESTLAKE COMMUNITY HOSPITAL
Active
Other names
Westlake Hospital Psychiatric Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PFISTER (SYSTEM DIRECTOR, PFS)
(773) 792-9903
Entity
Organization
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 938-7040
Mailing address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 938-7040
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074
ILLINOIS BLUE CROSS
IL
Enumeration date
01/29/2007
Last updated
08/22/2020
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