WESTLAKE HOSPITAL (NPI# 1245356542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245356542 |
| Entity Type | Organization |
| Organization Name | WESTLAKE HOSPITAL |
| Other Organization Name | WESTLAKE MEDICAL ASSOCIATES |
| Practice Address |
1111 Superior St Ste 101 Melrose Park IL 60160-4100 |
| Practice Telephone | 7083442161 |
| Practice Fax Number | 7083443156 |
| Mailing Telephone | 7083442161 |
| Mailing Fax Number | 7083443156 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | DR. VIJAY V YELDANDI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7089387350 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 1623610 | 01 | |
| IL | 036069861 | 05 |
| Other Name | Type Code |
|---|---|
| Westlake Medical Associates | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366429193 | Westlake Hospital | Emergency Medicine | 1225 W Lake St, Westlake Hospital/emergency Department, Melrose Park, IL 60160-4039 | 2005-12-22 |
| 1336141795 | Westlake Hospital | Emergency Medicine | 1225 W Lake St, Westlake Hospital / Emergency Department, Melrose Park, IL 60160-4039 | 2005-08-15 |
| 1619976651 | Westlake Hospital | Radiology | 1225 W Lake St, Westlake Hospital / Radiology Department, Melrose Park, IL 60160-4039 | 2005-07-20 |
| 1417956871 | Westlake Hospital | Anesthesiology | 1225 W Lake St, Westlake Hospital / Anesthesia Department, Melrose Park, IL 60160-4039 | 2005-07-19 |
| Street Address |
1111 SUPERIOR ST STE 101 |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511143 | Yolanda Cardenas | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2005-07-12 |
| 1801405733 | Claudia Medrano | Registered Nurse | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2020-07-27 |
| 1710492947 | Mary Leung | Registered Nurse | 1111 Superior St Ste 101, Melrose Park, IL 60160 | 2017-12-11 |
| 1811334626 | Yesenia Arce | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2013-06-03 |
| 1558667170 | Mandana Faghani | Internal Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2011-01-28 |
| 1689802282 | Jacara Kelley-muhammad | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2009-06-23 |
| 1093977530 | Tamayo Kawai | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429609 | Broadway Medical Center | Clinic/Center | 153 1/2 Broadway St, Melrose Park, IL 60160-3755 | 2006-05-31 |
| 1295112829 | Rediclinic of Pa, LLC | Clinic/Center | 1401 W Cheltenham Ave, Melrose Park, PA 19027-3131 | 2015-05-04 |
| 1275779407 | Elmhurst Memorial Affiliated Primary Care Physicians, LLC | Clinic/Center | 675 W North Ave, Suite 505, Melrose Park, IL 60160-1634 | 2008-12-17 |
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|---|---|---|---|---|
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.