Active NPI
West Suburban Medical Center
Doing business as Womens Health Center
- Gynecology Physician
- Carol Stream, IL
National Provider Identifier
1841419207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- WEST SUBURBAN MEDICAL CENTER
- Doing business as
- Womens Health Center
- Practice address
- Box 4063 Women's Health Center
Carol Stream, IL 60122-0001 - Phone
- (708) 763-5540
- Fax
- (708) 763-5550
- NPI assigned
- Apr 24, 2007
- Last updated
- Mar 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Pfister
- Title
- System Directof Patient Financial S
- Phone
- (847) 813-3716
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | IL | ||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | IL | ||
| Gynecology Physician | 207VG0400X | IL | Primary | |
| Obstetrics Physician | 207VX0000X | IL |
Addresses
Primary practice location
Box 4063 Women's Health Center
Carol Stream, IL 60122-0001
Mailing address
7411 Lake St
L140
River Forest, IL 60305-1876
Phone (708) 763-5540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01621924 | Other | IL | BCBS GROUP NUMBER |
| 803900 | Other | IL | MEDICARE GRP |
Other names 1
- Womens Health Center
National Provider Directory
National Provider DirectoryLocations
4063 Box
Carol Stream, IL 60122
Phone (708) 763-5540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1841419207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 LAKE ST",
"address_2": "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": "BOX 4063 WOMEN'S HEALTH CENTER",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601220001",
"telephone_number": "708-763-5540",
"fax_number": "708-763-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SUBURBAN MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "PFISTER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SYSTEM DIRECTOF PATIENT FINANCIAL S",
"authorized_official_telephone_number": "847-813-3716"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "01621924",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP",
"identifier": "803900",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Womens Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.