West Suburban Medical Center

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

WEST SUBURBAN MEDICAL CENTER

Doing business as

West Suburban Caring Center at Mills Park Tower

Practice address

1025 Pleasant PL
Annex
Oak Park, IL 60302-3172

Phone

(708) 383-3390

NPI assigned

Mar 11, 2008

Reactivated

Apr 11, 2008

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST SUBURBAN MEDICAL CENTERAs reported in NPPES

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

Addresses

Other identifiers 2

Other names 1

• West Suburban Caring Center at Mills Park Tower Doing business as

Part of

West Suburban Prof Rece

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1811167430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "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": "1025 PLEASANT PL",
            "address_2": "ANNEX",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023172",
            "telephone_number": "708-383-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SUBURBAN MEDICAL CENTER",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-11",
        "deactivation_date": "2008-03-27",
        "reactivation_date": "2008-04-11",
        "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": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "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 GRP",
            "identifier": "548570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Suburban Caring Center at Mills Park Tower",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Suburban Medical Center (Oak Leyden)
• West Suburban Medical Center (Associates in Internal Medicine)
• West Suburban Medical Center (West Suburban Caring Center at the Oak Park Arms)
• West Suburban Medical Center
• West Suburban Medical Center (Family Medicine Center)
• West Suburban Midwife Assoc. LTD
• West Suburban Midwife Associates, LTD
• West Suburban Physical Therapy, LTD
• Amanda Elizabeth West, LCSW
• Katherine Elizabeth Wester

• Geriatric Medicine (Internal Medicine) Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.