WEST SUBURBAN MEDICAL CENTER (NPI# 1700801966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801966 |
| Entity Type | Organization |
| Organization Name | WEST SUBURBAN MEDICAL CENTER |
| Other Organization Name | FAMILY MEDICINE CENTER |
| Practice Address |
1 Erie Court Ste 6160 Oak Park IL 60302 |
| Mailing Address |
7411 Lake St Suite L 140 West Suburban Health Care Medical Group River Forest IL 60305-1888 |
| Practice Telephone | 7084881490 |
| Practice Fax Number | 7084888232 |
| Mailing Telephone | 7087637877 |
| Mailing Fax Number | 7087635550 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-02-27 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GRP | 21623162 | 01 |
| IL | MEDICARE GROUP NUMBER | 548570 | 01 |
| Other Name | Type Code |
|---|---|
| Family Medicine Center | 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 |
| 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 |
| 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 |
1 ERIE COURT STE 6160 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528237765 | Lakeshore Gastroenterology and Liver Disease Institute S.c. | Internal Medicine | 1 Erie Court, Suite 3100, Oak Park, IL 60614-8542 | 2008-02-21 |
| 1487724852 | West Suburban Gastroenterology S C | Internal Medicine | 1 Erie Court, Ste 3100, Oak Park, IL 60302 | 2006-11-09 |
| 1255354601 | West Suburban Eye Associates LLC | Ophthalmology | 1 Erie Court, Suite 6140, Oak Park, IL 60302 | 2006-07-26 |
| 1558387167 | Pcc Community Wellness Center | Clinic/Center | 1 Erie Court, Ste 6040, Oak Park, IL 60302-2510 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.