Organization
WEBSTER EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS P WEBSTER D.O. (PRESIDENT/OWNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
550 W WEBSTER AVE, CHICAGO, IL 60614-3965
(773) 883-2000
(773) 883-3588
Mailing address
PO BOX 8230, PHILADELPHIA, PA 19101-8230
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31623075
BLUE SHIELD
IL
Enumeration date
06/02/2006
Last updated
04/20/2008
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