NPIMap

Organization Active NPI

Westlake Hospital

  • Emergency Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1336141795
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WESTLAKE HOSPITAL
Doing business as
Westlake Emergency Physicians
Practice address
1225 W Lake St
Westlake Hospital / Emergency Department
Melrose Park, IL 60160-4039
Phone
(708) 681-3000
NPI assigned
Aug 15, 2005
Organization subpart
Yes
Parent organization
WESTLAKE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Patricia Shehorn
Title
Chief Executive Officer
Phone
(708) 681-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1225 W Lake St
Westlake Hospital / Emergency Department
Melrose Park, IL 60160-4039

Mailing address

520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542

Other names 1

  • Westlake Emergency Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Westlake Comm Hosp Obg7 organizations share this tax ID, including this one
Part of
Westlake Comm Hosp Obg

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1336141795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W LAKE ST",
            "address_2": "WESTLAKE HOSPITAL / EMERGENCY DEPARTMENT",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604039",
            "telephone_number": "708-681-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTLAKE HOSPITAL",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SHEHORN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-681-3000"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Emergency Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.