Individual
AILEEN WESTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 THORNHILL DR, CAROL STREAM, IL 60188-2793
(630) 688-3210
Mailing address
501 THORNHILL DR, CAROL STREAM, IL 60188-2793
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036129217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129217
—
IL
01
—
1
MEDICAID CPG PAYEE CODE:
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400163584
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/20/2009
Last updated
12/18/2014
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