NPIMap

Organization Active NPI

West Suburban Medical Center

  • Registered Dietitian
  • Oak Park, IL
National Provider Identifier
1609998947
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WEST SUBURBAN MEDICAL CENTER
Practice address
3 Erie CT
Diabetes Center
Oak Park, IL 60302-2519
Phone
(708) 763-1368
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Ms. Maria Estela Moreno-Cortes, RD
Title
Clinical Dietitian
Phone
(708) 763-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X MI Primary

Addresses

Primary practice location

3 Erie CT
Diabetes Center
Oak Park, IL 60302-2519

Mailing address

260 Inverrary LN
Deerfield, IL 60015-3602
Phone (708) 763-1368

National Provider Directory

National Provider Directory
Tax ID family
Henry for Hospital158 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1609998947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 INVERRARY LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153602",
            "telephone_number": "708-763-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "address_2": "DIABETES CENTER",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "MORENO-CORTES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ESTELA",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "708-763-1368",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2013; 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.