Organization
WEST SUBURBAN MEDICAL CENTER
Active
Other names
Family Medicine Center
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
1 ERIE COURT, STE 6160, OAK PARK, IL 60302
(708) 488-1490
(708) 488-8232
Mailing address
7411 LAKE ST, SUITE L 140 WEST SUBURBAN HEALTH CARE MEDICAL GROUP, RIVER FOREST, IL 60305-1888
(708) 763-7877
(708) 763-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623162
BCBS GRP
IL
01
—
548570
MEDICARE GROUP NUMBER
IL
Enumeration date
07/12/2006
Last updated
02/27/2008
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