West Suburban Senior Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

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

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jennings, PH.D.

Title

Chief Executive Officer

Phone

(708) 547-5600

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1275895104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 BOHLAND AVENUE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-547-5600",
            "fax_number": "708-547-0036"
        },
        {
            "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": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-547-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Valerei Wright
• Marissa Wuilliez

• Case Management Agency in Bellwood, IL
• Providers in Bellwood, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.