NPIMap

Organization Active NPI

Westlake Hospital

  • Vascular & Interventional Radiology Physician
  • Melrose Park, IL
National Provider Identifier
1619976651
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
WESTLAKE HOSPITAL
Doing business as
Westlake Hospital Interventional Radiology
Practice address
1225 W Lake St
Westlake Hospital / Radiology Department
Melrose Park, IL 60160-4039
Phone
(708) 681-3000
NPI assigned
Jul 20, 2005
Organization subpart
Yes
Parent organization
WESTLAKE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Patricia Shehorn
Title
Ceo
Phone
(708) 681-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Westlake Hospital Interventional Radiology 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": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1619976651",
    "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 / RADIOLOGY 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": "2005-07-20",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SHEHORN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-681-3000"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Hospital Interventional Radiology",
            "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 Jul 17, 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.