Organization
WEST SUBURBAN MEDICAL CENTER
Active
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
Update your record
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