Organization Active NPI

West Suburban Medical Center

Doing business as Womens Health Center

  • Gynecology Physician
  • Carol Stream, IL
National Provider Identifier
1841419207
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01621924OtherILBCBS GROUP NUMBER
803900OtherILMEDICARE GRP

Other names 1

  • Womens Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.