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WEST SUBURBAN MEDICAL CENTER NPI 1598987091


NPI Information

NPI: 1598987091
Provider Name: WEST SUBURBAN MEDICAL CENTER

Doing Business As: WEST SUBURBAN PROFESSIONAL RECEIVABLES

Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
35001 EAGLE WAY
CHICAGO, IL
ZIP 60678
Phone: (708) 763-1471
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WEST SUBURBAN MEDICAL CENTER is a dermatopathology dermatology in Chicago, IL. The provider is 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. WEST SUBURBAN MEDICAL CENTER NPI is 1598987091. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Suburban Professional Receivables.

The provider's business location address is:

35001 EAGLE WAY
CHICAGO, IL
ZIP 60678-350
Phone: (708) 763-1471
Fax: (708) 763-1471

The provider's authorized official is Susan Pfister .
The authorized official title is System Director Patient Financial S and has the following contact phone number (847) 813-3716.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 9/25/2008.


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
1207P00000XEmergency MedicineILLINOISNo
2207Q00000XFamily MedicineILLINOISNo
3207QH0002XFamily MedicineHospice and Palliative MedicineILLINOISNo
4207R00000XInternal MedicineILLINOISNo
5207RC0000XInternal MedicineCardiovascular DiseaseILLINOISNo
6207RH0003XInternal MedicineHematology & OncologyILLINOISNo
7207RI0200XInternal MedicineInfectious DiseaseILLINOISNo
8207RR0500XInternal MedicineRheumatologyILLINOISNo
9207VX0201XObstetrics & GynecologyGynecologic OncologyILLINOISNo
102085R0001XRadiologyRadiation OncologyILLINOISNo
11208600000XSurgeryILLINOISNo
12208D00000XGeneral PracticeILLINOISNo
13213E00000XPodiatristNo
14207ND0900XDermatologyDermatopathologyILLINOISYes

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
1803900MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
21617031OTHERILLINOISBLUE CROSS BLUE SHIELD
31620469OTHERILLINOISBCBS GROUP NUMBER

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

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