Organization
WEST SUBURBAN HEALTH PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOD R ERICKSON (CEO)
(773) 564-6301
Entity
Organization
Contact information
Practice address
2433 N HARLEM AVE, SUITE 300, CHICAGO, IL 60707-2031
(800) 974-7362
(773) 745-7493
Mailing address
2433 N HARLEM AVE, SUITE 300, CHICAGO, IL 60707-2031
(800) 974-7362
(773) 745-7493
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
03/27/2012
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