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Organization

WEST SUBURBAN MEDICAL CENTER

Active
Other names
West Suburban Professional Receivables
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN PFISTER (SYSTEM DIRECTOR PATIENT FINANCIAL S)
(847) 813-3716
Entity
Organization

Contact information

Practice address
35001 EAGLE WAY, CHICAGO, IL 60678-1350
(708) 763-1471
(708) 763-1471
Mailing address
7411 LAKE ST, L140, RIVER FOREST, IL 60305-1876
(708) 763-5531
(708) 763-5550

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
IL
207P00000X
Emergency Medicine Physician
IL
207Q00000X
Family Medicine Physician
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
IL
207R00000X
Internal Medicine Physician
IL
207RC0000X
Cardiovascular Disease Physician
IL
207RH0003X
Hematology & Oncology Physician
IL
207RI0200X
Infectious Disease Physician
IL
207RR0500X
Rheumatology Physician
IL
207VX0201X
Gynecologic Oncology Physician
IL
2085R0001X
Radiation Oncology Physician
IL
208600000X
Surgery Physician
IL
208D00000X
General Practice Physician
IL
213E00000X
Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1617031
BLUE CROSS BLUE SHIELD
IL
01
1620469
BCBS GROUP NUMBER
IL
Enumeration date
05/03/2007
Last updated
09/25/2008
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