West Suburban Surgical Associates, LTD.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036076758 Issued in IL

Legal business name

WEST SUBURBAN SURGICAL ASSOCIATES, LTD.

Doing business as

advanced breast care specialists

Practice address

473 W Army Trail Rd
Suite 107
Bloomingdale, IL 60108-2674

Phone

(630) 307-7799

Fax

(630) 307-2277

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Jan Marie Charvat

Title

Practice Manager

Phone

(630) 307-7799

Specialties & licenses 1

Addresses

Other names 1

• advanced breast care specialists Doing business as

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1184682478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD",
            "address_2": "SUITE 107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "630-307-7799",
            "fax_number": "630-307-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD",
            "address_2": "SUITE 107",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "630-307-7799",
            "fax_number": "630-307-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN SURGICAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "CHARVAT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-307-7799"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036076758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced breast care specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Lynn Weber, D.C.
• Jody A Weller
• Wells Counseling, PLLC
• West Suburban Care Center, LLC
• West Suburban Nursing and Rehabilitation Center, LLC
• Jeffrey A. Whitis, PTA
• Emily Wickstrom, M.A., CCC-SLP/L
• Amanda Wilhite, LCPC
• Chelsea Wilken, LCSW
• William D Hancock Jr DDS SC

• Surgery Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.