Organization
WEST SUBURBAN MEDICAL CENTER
Active
Parent organization
WEST SUBURBAN MEDICAL CENTER
Other names
West Suburban Caring Center at the Oak Park Arms
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SUBURBAN MEDICAL CENTER
Authorized official
SUSAN PFISTER (SYSTEM DIRECTOR PATIENT FINANCIAL S)
(847) 813-3716
Entity
Organization
Contact information
Practice address
414 S OAK PARK AVE, STE 29, OAK PARK, IL 60302-3892
(708) 358-0776
Mailing address
7411 LAKE ST, STE L140, RIVER FOREST, IL 60305-1876
(708) 763-5540
(708) 763-5550
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623162
BCBS GRP
IL
01
—
548570
MEDICARE GRP
IL
Enumeration date
03/11/2008
Last updated
04/11/2008
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