NPIMap

Organization Active NPI

West Suburban Medical Center

Doing business as Oak Leyden

  • Family Medicine Physician
  • Oak Park, IL
National Provider Identifier
1467622019
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST SUBURBAN MEDICAL CENTER
Doing business as
Oak Leyden
Practice address
411 Chicago Ave
Oak Park, IL 60302-2233
Phone
(708) 524-1050
Fax
(708) 524-2469
NPI assigned
Mar 10, 2008
Organization subpart
Yes
Parent organization
WEST SUBURBAN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

411 Chicago Ave
Oak Park, IL 60302-2233

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
548570OtherILMEDICARE GRP
21623162OtherILBCBS GRP

Other names 1

  • Oak Leyden Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Suburban Hospital6 organizations share this tax ID, including this one
Part of
West Suburban Hospital

Other organizations with this tax ID 5

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1467622019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 W LAKE STREET",
            "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": "411 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022233",
            "telephone_number": "708-524-1050",
            "fax_number": "708-524-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SUBURBAN MEDICAL CENTER",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "548570",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "21623162",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Leyden",
            "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 10, 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.