OrganizationRiver Forest Medical Center IncorporatedFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1125 Westgate St, Oak Park, IL 60301-1007(708) 848-0040PECOS EnrollmentBased on the most recent information from CMS, provider River Forest Medical Center Incorporated 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 2 days ago.Profile DetailsProvider ID1720138746Provider TypeOrganizationFull NameRiver Forest Medical Center IncorporatedSubpartNoEnumeration Date1/11/2007Last Updated3/7/2023Contact InformationPractice LocationPractice Address1125 Westgate St, Oak Park, IL 60301-1007Phone(708) 848-0040Fax(708) 848-2931Mailing LocationMailing Address1125 Westgate St, Oak Park, IL 60301-1007Phone(708) 848-0040Fax(708) 848-2931Authorized OfficialNameLimperis, Makis (President)Phone(708) 848-0040Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036076498IllinoisProvider IdentifiersIDDescriptionIssuerID036076498DescriptionMedicaidIssuerUnlistedIllinois