West Suburban Senior Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.012682 Issued in IL

Legal business name

WEST SUBURBAN SENIOR SERVICES

Practice address

439 Bohland Ave
Bellwood, IL 60104-1833

Phone

(708) 547-5600

Fax

(708) 547-0036

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Eric Vironet

Title

Ceo

Phone

(708) 547-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1104241249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 BOHLAND AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041833",
            "telephone_number": "708-547-5600",
            "fax_number": "708-547-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 BOHLAND AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041833",
            "telephone_number": "708-547-5600",
            "fax_number": "708-547-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "VIRONET",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-547-5600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.012682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory Waddell
• Jermaine Walker
• Robert L Walker, HT
• Aunderia Denise Wallace
• Eunice Watson
• West Suburban Senior Services
• West Suburban Senior Services
• Juanita Erica Williams
• Kiara Danielle Wilson, DRIVER
• Eunique Genise Woods

• Community/Behavioral Health Agency in Bellwood, IL
• Providers in Bellwood, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.