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General NPI Number Information
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NPI Number | 1225073984
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Entity Type | Organization
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Legal Business Name | WEST SUBURBAN MEDICAL CENTER
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 7420 CENTRAL AVENUE
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City | RIVER FOREST
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State | IL
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Zip | 60305-1800
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Country | US
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Telephone | 708-763-2700
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Fax | 708-763-2781
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Provider Business Mailing Address
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Address Line | 7411 LAKE ST STE L140
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City | RIVER FOREST
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State | IL
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Zip | 60305-1888
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Country | US
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Telephone | 708-763-5531
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Fax | 708-763-5550
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Authorized Official
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Title or Position | SYSTEM DIRECTOR PATIENT FINANCIAL S
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Name | SUSAN PFISTER
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Credential |
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Telephone | 847-813-3716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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