VHS Acquisition Subsidiary Number 4 Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

VHS ACQUISITION SUBSIDIARY NUMBER 4 INC

Doing business as

River Forest Breast Care Center

Practice address

420 William St
2ND Floor
River Forest, IL 60305-1920

Phone

(708) 763-4727

Fax

(708) 763-2781

NPI assigned

Jun 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Carol A Bailey

Title

Vice President

Phone

(615) 665-6000

Specialties & licenses 1

Addresses

Other names 1

• River Forest Breast Care Center Doing business as

Locations

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1235450388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD STE 100",
            "address_2": "ATTENTION: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156409",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WILLIAM ST",
            "address_2": "2ND FLOOR",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051920",
            "telephone_number": "708-763-4727",
            "fax_number": "708-763-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS ACQUISITION SUBSIDIARY NUMBER 4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-665-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Forest Breast Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Treatman, M.A., CCC-SLP
• Robin Ann Uchitelle, MD
• Russell Paul Umbricht, DDS
• Jillian Breann Vander Pol, RN, WHNP
• Gabriela Velazquez
• VHS Acquisition Subsidiary Number 4 Inc
• VHS Acquisition Subsidiary Number 4 Inc
• VHS West Suburban Medical Center Inc
• Village of River Forest
• Courtney R Villari, DDS

• Diagnostic Radiology Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.