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West Suburban Medical Center
Obstetrics & Gynecology Nurse Practitioner in Carol Stream, Illinois
NPI 1841419207

West Suburban Medical Center is a Obstetrics & Gynecology Nurse Practitioner based in River Forest, IL and is specialized in Obstetrics & Gynecology. West Suburban Medical Center practices in Carol Stream, IL. The NPI Number for West Suburban Medical Center is 1841419207 and holds a License No. (Illinois).

The current practice location address for West Suburban Medical Center is Box 4063 Women's Health Center, Carol Stream, IL and can be reached out via phone at 708-763-5540 and via fax at 708-763-5550.

Location: Box 4063 Women's Health Center, Carol Stream, IL, 60305-1876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841419207
Provider Name
West Suburban Medical Center
Credential
Provider Entity Type
Organization
Address
Box 4063 Women's Health Center, Carol Stream, IL, 60305-1876
Phone Number
708-763-5540
Fax Number
708-763-5550
Provider Enumeration Date
04/24/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
803900 01 IL MEDICARE GRP
01621924 01 IL BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
Box 4063 Women's Health Center
City
Carol Stream
State
Illinois
Zip
60122-0001
Phone Number
708-763-5540
Fax Number
708-763-5550
person
Provider Business Mailing Address Details
Address
Box 4063 Women's Health Center
City
Carol Stream
State
Illinois
Zip
60122-0001
Phone Number
708-763-5540
Fax Number
708-763-5550
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
(Illinois)
Definition
Definition to come...
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