West Suburban Medical Center

NPI 1073742748 - Internal Medicine - 207RC0000X

NPI Details
NPI 1073742748
Enumeration Date 07/02/2009
Last Updated 07/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SUSAN SUSAN
Position SYSTEM DIRECTOR
Phone (708) 795-0383
Fax (708) 484-9545
Practice Location
3245 S. GROVE AVENUE
STE 105 & 106
BERWYN IL, 60402, US
Phone (708) 795-0383
Fax (708) 484-9545
Business Location
35001 EAGLE WAY
CHICAGO IL, 60678-1522, US
Phone
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, West Suburban Medical Center NPI is 1073742748, taxonomy code is 207RC0000X West Suburban Medical Center physically located at 3245 S. Grove Avenue, Berwyn IL, 60402. NPI Number 1033115704 has the healthcare provider type.

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1073742748 NPI number is provided on an as is basis without warranty of any kind. 1073742748 is maintained by the National Plan & Provider Enumeration System. The contents of West Suburban Medical Center are for informational purposes only.