Organization Active NPI

West Suburban Medical Center

  • Geriatric Medicine (Internal Medicine) Physician
  • Oak Park, IL
National Provider Identifier
1194995993
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
WEST SUBURBAN MEDICAL CENTER
Doing business as
West Suburban Caring Center at The Oaks
Practice address
114 S Humphrey Ave
Units #101 & #102
Oak Park, IL 60302-2793
Phone
(708) 383-0999
NPI assigned
Mar 7, 2008
Organization subpart
Yes
Parent organization
WEST SUBURBAN CARING CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Susan Pfister
Title
System Director
Phone
(847) 813-3716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X IL Primary

Addresses

Primary practice location

114 S Humphrey Ave
Units #101 & #102
Oak Park, IL 60302-2793

Mailing address

7411 Lake St
Ste L140
River Forest, IL 60305-1876
Phone (708) 763-5540

Other names 1

  • West Suburban Caring Center at The Oaks Doing business as

National Provider Directory

National Provider Directory
Part of
West Suburban Hospital

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1194995993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "STE L140",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-763-5540",
            "fax_number": "708-763-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S HUMPHREY AVE",
            "address_2": "UNITS #101 & #102",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022793",
            "telephone_number": "708-383-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SUBURBAN CARING CENTER",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "847-813-3716"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Suburban Caring Center at The Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.