Organization
WEST SUBURBAN HOSPITAL MEDICAL CENTER
Active
Other names
West Suburban Skilled Nursing Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PFISTER (SYSTEM DIRECTOR, PFS)
(773) 792-9903
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 763-1010
(708) 938-4769
Mailing address
3 ERIE CT, OAK PARK, IL 60302-2519
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0977
BLUE CROSS PROVIDER NUMBE
—
Enumeration date
02/01/2007
Last updated
11/14/2007
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