WEST SUBURBAN MEDICAL CENTER (NPI# 1518097567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518097567 |
Entity Type | Organization |
Organization Name | WEST SUBURBAN MEDICAL CENTER |
Other Organization Name | BONE DENSITY AT FPC |
Practice Address |
420 William St Bone Density At Fpc River Forest IL 60305-1920 |
Mailing Address |
7411 Lake St Suite L140 River Forest IL 60305-1876 |
Practice Telephone | 7084881490 |
Practice Fax Number | 7083832324 |
Mailing Telephone | 7087635540 |
Mailing Fax Number | 7087635550 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2008-03-10 |
Authorized Official Name | SUSAN PFISTER (SYSTEM DIRECTOR PATIENT FINANCIAL S) |
Authorized Official Telephone | 8478133716 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS GROUP NUMBER | 21623162 | 01 |
Other Name | Type Code |
---|---|
Bone Density at FPC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073742748 | West Suburban Medical Center | Internal Medicine | 3245 S. Grove Avenue, Ste 105 & 106, Berwyn, IL 60402 | 2009-07-02 |
1811167430 | West Suburban Medical Center | Internal Medicine | 1025 Pleasant Pl, Annex, Oak Park, IL 60302-3172 | 2008-03-11 |
1194995993 | West Suburban Medical Center | Internal Medicine | 114 S Humphrey Ave, Units #101 & #102, Oak Park, IL 60302-2793 | 2008-03-07 |
1598987091 | West Suburban Medical Center | Emergency Medicine | 35001 Eagle Way, Chicago, IL 60678-1350 | 2007-05-03 |
1649499096 | West Suburban Medical Center | Internal Medicine | 52256 Eagle Way, W Suburban Health Care Physicians Svcs, Chicago, IL 60678-1522 | 2007-04-24 |
1841419207 | West Suburban Medical Center | Obstetrics & Gynecology | Box 4063 Women's Health Center, Carol Stream, IL 60122-0001 | 2007-04-24 |
1275558983 | West Suburban Medical Center | Obstetrics & Gynecology | 7339 Madison St, Womens Health Center, Forest Park, IL 60130-1543 | 2006-07-13 |
1700801966 | West Suburban Medical Center | Family Medicine | 1 Erie Court, Ste 6160, Oak Park, IL 60302 | 2006-07-12 |
1225073984 | West Suburban Medical Center | Radiology | 7420 Central Avenue, River Forest, IL 60305-1800 | 2006-06-18 |
1447563994 | West Suburban Medical Center | Internal Medicine | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2010-07-26 |
Street Address |
420 WILLIAM ST BONE DENSITY AT FPC |
City | RIVER FOREST |
State | IL |
Zip Code | 60305-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588985519 | Vhs Acquisition Subsidiary Number 4 Inc | Radiology | 420 William St, 1st Floor, River Forest, IL 60305-1920 | 2010-06-14 |
1235450388 | Vhs Acquisition Subsidiary Number 4 Inc | Radiology | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2010-06-11 |
1033446810 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2009-11-16 |
1760719546 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 1st Floor, River Forest, IL 60305-1920 | 2009-11-16 |
1477729507 | Patricia Lynn Russell | Internal Medicine | 420 William St, Suite 1001, River Forest, IL 60305-1920 | 2008-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
Find all providers in zip 60305 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
1760688360 | Matthew Dodaro | Radiology | 6952 Rote Rd, Rockford, IL 61107-2607 | 2007-06-21 |
1932245578 | Alexander Ree | Radiology | 2160 S. First Ave., Radiology Department, Maywood, IL 60153 | 2007-01-30 |
1467523217 | Brent M Greenberg | Radiology | 1535 Park Ave West, Greenberg Radiology Imaging, Highland Park, IL 60035-2240 | 2006-11-13 |
1194820167 | Thomas Figler | Radiology | 903 Commerce Dr, Suite 333, Oak Brook, IL 60523-1969 | 2006-09-14 |
1609987767 | Dr. Swartz Imaging of Illinois | Radiology | 8618 W Golf Rd # 8620, Niles, IL 60714-5600 | 2006-08-31 |
1063435923 | Jorge Delatorre | Radiology | 3058 N Austin Ave, Chicago, IL 60634-5126 | 2006-07-25 |
1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
1528008539 | Ejaz Rahimchaudhry | Radiology | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-07 |
Find all providers with the same taxonomy |
City | RIVER FOREST |
Zip Code | 60305 |
Please comment or provide details below to improve the information on WEST SUBURBAN MEDICAL CENTER.
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.