Active NPI
West Side Pathology Associates, P.C.
- Anatomic Pathology & Clinical Pathology Physician
- Oak Park, IL
National Provider Identifier
1114954401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- WEST SIDE PATHOLOGY ASSOCIATES, P.C.
- Practice address
- 3 Erie CT
Oak Park, IL 60302-2519 - Phone
- (877) 852-4669
- NPI assigned
- Jun 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Polina Zaytsev, M.D.
- Title
- President
- Phone
- (877) 852-4669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
3 Erie CT
Oak Park, IL 60302-2519
Mailing address
PO Box 87165
Dept 2050
Carol Stream, IL 60188-7165
Phone (877) 852-4669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK9230 | Other | IL | RAILROAD MEDICARE |
| 01633353 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Oak Park, IL
- NPI 1841220704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1114954401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87165",
"address_2": "DEPT 2050",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601887165",
"telephone_number": "877-852-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ERIE CT",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "877-852-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SIDE PATHOLOGY ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "ZAYTSEV",
"authorized_official_first_name": "POLINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-852-4669",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK9230",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01633353",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
- Elizabeth A Werner, PA-C
- Kimberly K Werner, PHARMD
- Valerie Ann Werner, LMFT
- Wesley C. Wise, DDS & Associates, LTD
- West Side Emergency Physicians, LLP
- West Suburban Emergency Services, LLC
- West Suburban Eye Associates LLC
- West Suburban Gastroenterology S C
- West Suburban Hospital Medical Center (West Suburban Skilled Nursing Unit)
- West Suburban Hospital Medical Center (West Suburban Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.