| West Suburban Senior Services | |
|
439 Bohland Ave Bellwood IL 60104-1833 | |
| (708) 547-5600 | |
| (708) 547-0036 |
| Full Name | West Suburban Senior Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 439 Bohland Ave, Bellwood, Illinois |
| Authorized Official Name and Position | Eric Vironet (CEO) |
| Authorized Official Contact | 7085475600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Senior Services 439 Bohland Ave Bellwood IL 60104-1833 Ph: (708) 547-5600 | West Suburban Senior Services 439 Bohland Ave Bellwood IL 60104-1833 Ph: (708) 547-5600 |
| NPI Number | 1104241249 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104241249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.012682 (Illinois) | Primary |
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