Organization
WEST SUBURBAN EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J BETZELOS M.D. (MANAGING PARTNER)
(773) 728-5133
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 229-9500
(708) 229-9605
Mailing address
5757 N LINCOLN AVE, SUITE 27, CHICAGO, IL 60659-4714
(773) 728-5133
(773) 728-5134
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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