West Suburban Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-107398 Issued in IL

Legal business name

WEST SUBURBAN MEDICAL GROUP

Practice address

1717 Glenwood Ave
Joliet, IL 60435-5835

Phone

(815) 744-8600

NPI assigned

Aug 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rubina Tahseen, M.D.

Title

Owner

Phone

(630) 375-6500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1073745758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605328466",
            "telephone_number": "630-375-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-744-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "TAHSEEN",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-375-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-107398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Lynn Weisz, O.D.
• Raquel Welch, FNP-BC
• Donna M Welter, MSW
• Sarah J Werner, MPT
• Emma Wessels
• Sadra Rae West
• Jonathan M Westhoff, LCSW
• Westside Childrens Therapy
• Craig D Weyrich, PT
• Lynn Weyrich, OT

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.