West Suburban Medical Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WEST SUBURBAN MEDICAL CENTER

Practice address

1 Erie Court
Ste 6160
Oak Park, IL 60302

Phone

(708) 488-1490

Fax

(708) 488-8232

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Susan Pfister

Title

System Director Patient Financial S

Phone

(847) 813-3716

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Family Medicine Center Doing business as

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1700801966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "SUITE L 140 WEST SUBURBAN HEALTH CARE MEDICAL GROUP",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051888",
            "telephone_number": "708-763-7877",
            "fax_number": "708-763-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ERIE COURT",
            "address_2": "STE 6160",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60302",
            "telephone_number": "708-488-1490",
            "fax_number": "708-488-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR PATIENT FINANCIAL S",
        "authorized_official_telephone_number": "847-813-3716"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "21623162",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "548570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Suburban Medical Center
• West Suburban Medical Center
• West Suburban Medical Center
• West Suburban Medical Center
• West Suburban Medical Center
• West Suburban Medical Center
• West Suburban Midwife Assoc. LTD
• West Suburban Midwife Associates, LTD
• West Suburban Physical Therapy, LTD
• Amanda Elizabeth West, LCSW

• Multi-Specialty Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

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