WEST SUBURBAN MEDICAL CENTER (NPI# 1598987091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598987091 |
| Entity Type | Organization |
| Organization Name | WEST SUBURBAN MEDICAL CENTER |
| Other Organization Name | WEST SUBURBAN PROFESSIONAL RECEIVABLES |
| Practice Address |
35001 Eagle Way Chicago IL 60678-1350 |
| Mailing Address |
7411 Lake St L140 River Forest IL 60305-1876 |
| Practice Telephone | 7087631471 |
| Practice Fax Number | 7087631471 |
| Mailing Telephone | 7087635531 |
| Mailing Fax Number | 7087635550 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-09-25 |
| 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 |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians | |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
IL | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
IL | Allopathic & Osteopathic Physicians | |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
IL | Allopathic & Osteopathic Physicians | |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
IL | Allopathic & Osteopathic Physicians | |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
IL | Allopathic & Osteopathic Physicians | |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
IL | Allopathic & Osteopathic Physicians | |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
IL | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians | |
| N | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1617031 | 01 |
| IL | BCBS GROUP NUMBER | 1620469 | 01 |
| Other Name | Type Code |
|---|---|
| West Suburban Professional Receivables | 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 |
| 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 |
| 1518097567 | West Suburban Medical Center | Radiology | 420 William St, Bone Density At Fpc, River Forest, IL 60305-1920 | 2007-03-07 |
| 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 |
35001 EAGLE WAY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60678-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255570263 | Bryan Christopher Swanson | Emergency Medicine | 35491 Eagle Way, Chicago, IL 60678-0001 | 2009-02-13 |
| 1265855209 | Mariam M Eldeib I | Social Worker | 38205 Eagle Way, Chicago, IL 60678-1382 | 2014-01-28 |
| 1649499096 | West Suburban Medical Center | Internal Medicine | 52256 Eagle Way, W Suburban Health Care Physicians Svcs, Chicago, IL 60678-1522 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| Find all providers in CHICAGO | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861404279 | Nathaniel Morgan | Dermatology | 11157 S Halsted St, Chicago, IL 60628-3910 | 2006-08-13 |
| 1023040573 | Thomas L. Fisher, M.d., S.c. | Dermatology | 47 W Polk St Lbby G1, Chicago, IL 60605-2087 | 2006-07-07 |
| 1073041455 | Sepideh Asadbeigi | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2017-05-30 |
| 1548517949 | Michael Sidiropoulos | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2012-08-06 |
| 1225074727 | Joan Guitart | Dermatology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376866897 | Physicians Dermpath Laboratory | Dermatology | 1420 N. Renaissance Dr., Suite 204, Park Ridge, IL 60068-1330 | 2010-03-11 |
| 1417075961 | Asanee Lertsburapa | Dermatology | 708 Midwest Club Park Parkway, Oak Brook, IL 60523 | 2007-03-26 |
| 1467476457 | Jeffrey Berti | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2006-07-26 |
| 1215902986 | George T Nahass | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-02-17 |
| 1467955179 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-03-09 |
| 1194225268 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-02-15 |
| 1437404951 | Christina G Steil Dermatology Ltd | Dermatology | 40 S Clay St, #210e, Hinsdale, IL 60521-3257 | 2012-07-20 |
| 1245490382 | Tesfu Hailu | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2008-06-12 |
| 1528235371 | Ana M Eng Md Sc | Dermatology | 103 N Haven Rd, Ste 7, Elmhurst, IL 60126-2923 | 2008-05-12 |
| 1871768846 | Dermatology and Dermatologic Surgery Ltd | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2008-04-29 |
| Find all providers with the same taxonomy | ||||
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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.