OrganizationWest Suburban Medical Center(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address411 Chicago Ave, Oak Park, IL 60302-2233(708) 524-1050(708) 763-5540PECOS EnrollmentBased on the most recent information from CMS, provider West Suburban Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1467622019Provider TypeOrganizationFull NameWest Suburban Medical CenterOther Name<Unavail>SubpartYesEnumeration Date3/10/2008Last Updated3/10/2008Contact InformationPractice LocationPractice Address411 Chicago Ave, Oak Park, IL 60302-2233Phone(708) 524-1050Fax(708) 524-2469Mailing LocationMailing Address7411 W Lake Street, Ste L140, River Forest, IL 60305-1876Phone(708) 763-5540Fax(708) 763-5550Authorized OfficialNamePfister, Susan (System Director)Phone(847) 813-3716Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID548570DescriptionOtherIssuerMEDICARE GRPIllinoisID21623162DescriptionOtherIssuerBCBS GRPIllinois