Healthcare Provider Details

I. General information

NPI: 1538206974
Provider Name (Legal Business Name): WEST SUBURBAN HOSPITAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ERIE CT
OAK PARK IL
60302-2519
US

IV. Provider business mailing address

3 ERIE CT
OAK PARK IL
60302-2519
US

V. Phone/Fax

Practice location:
  • Phone: 708-763-1010
  • Fax: 708-938-4769
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SUSAN PFISTER
Title or Position: SYSTEM DIRECTOR, PFS
Credential:
Phone: 773-792-9903