Berwyn Clinic
LBN: West Suburban Medical Center
Berwyn Clinic is an health care organization with primary practice located at 3245 S. Grove Avenue Ste 105 & 106, Berwyn IL 60402. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
West Suburban Medical Center can be contacted via phone (708) 795-0383, or through Pfioter, Susan via phone (847) 813-3716.
Contact Information
Primary practice address
3245 S. Grove Avenue Ste 105 & 106
Berwyn IL 60402
Phone: (708) 795-0383
Fax: (708) 484-9545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1073742748 |
|---|---|
| LBN Legal business name | West Suburban Medical Center |
| DBA Doing business as | Berwyn Clinic |
| Authorized official | Pfioter, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Jul 2nd, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073742748 | NPPES |
| Illinois | Other | 1620469 | BCBS GRP |
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