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WEST SUBURBAN MEDICAL CENTER NPI 1649499096


NPI Information

NPI: 1649499096
Provider Name: WEST SUBURBAN MEDICAL CENTER

Doing Business As: WEST SUBURBAN HEALTH CARE PHYSICIANS SVCS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
52256 EAGLE WAY
W SUBURBAN HEALTH CARE PHYSICIANS SVCS
CHICAGO, IL
ZIP 60678
Phone: (708) 763-7877
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WEST SUBURBAN MEDICAL CENTER is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST SUBURBAN MEDICAL CENTER NPI is 1649499096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Suburban Health Care Physicians Svcs.

The provider's business location address is:

52256 EAGLE WAY
W SUBURBAN HEALTH CARE PHYSICIANS SVCS
CHICAGO, IL
ZIP 60678-522
Phone: (708) 763-7877
Fax: (708) 763-5550

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 4/24/2007 and was last updated on 6/18/2008.


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
1207R00000XInternal MedicineILLINOISNo
2207VG0400XObstetrics & GynecologyGynecologyILLINOISNo
3363L00000XNurse PractitionerILLINOISNo
4207Q00000XFamily MedicineILLINOISYes

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
1207822MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
2548570MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
321623162OTHERILLINOISBCBS 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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