Organization
WEST SUBURBAN MEDICAL CENTER
Active
Other names
Womens Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PFISTER (SYSTEM DIRECTOF PATIENT FINANCIAL S)
(847) 813-3716
Entity
Organization
Contact information
Practice address
BOX 4063 WOMEN'S HEALTH CENTER, CAROL STREAM, IL 60122-0001
(708) 763-5540
(708) 763-5550
Mailing address
7411 LAKE ST, L140, RIVER FOREST, IL 60305-1876
(708) 763-5540
(708) 763-5550
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
207VX0000X
Obstetrics Physician
—
IL
363LW0102X
Women's Health Nurse Practitioner
—
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621924
BCBS GROUP NUMBER
IL
01
—
803900
MEDICARE GRP
IL
Enumeration date
04/24/2007
Last updated
03/20/2008
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