Organization
WEST SIDE PATHOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLINA ZAYTSEV M.D. (PRESIDENT)
(877) 852-4669
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(877) 852-4669
Mailing address
PO BOX 87165, DEPT 2050, CAROL STREAM, IL 60188-7165
(877) 852-4669
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633353
BLUE CROSS BLUE SHIELD
IL
01
—
CK9230
RAILROAD MEDICARE
IL
Enumeration date
06/26/2006
Last updated
06/01/2011
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