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WESTMINSTER PLACE NPI 1033179411


NPI Information

NPI: 1033179411
Provider Name: WESTMINSTER PLACE

Former Legal Business Name: PRESBYTERIAN HOMES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3200 GRANT STREET
EVANSTON, IL
ZIP 60201
Phone: (847) 492-4828
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WESTMINSTER PLACE is a multi-specialty clinic center in Evanston, IL. WESTMINSTER PLACE NPI is 1033179411. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Presbyterian Homes.

The provider's business location address is:

3200 GRANT STREET
EVANSTON, IL
ZIP 60201
Phone: (847) 492-4828
Fax: (847) 492-4810

The provider's authorized official is Mark Havrilka .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 979-3904.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 10/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11633224OTHERILLINOISBLUE CROSS BLUE SHIELD OF ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.