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WEST SUBURBAN MEDICAL CENTER
NPI 1114096179
Pharmacy in Oak Park, IL

Active since November 06, 2006CLIA 14D0665351 · Accreditation
1 ERIE CT, OAK PARK, IL 60302(708) 763-1398(708) 383-9884 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Suburban Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SUBURBAN MEDICAL CENTER (NPI 1114096179) is a healthcare organization registered as a pharmacy in Oak Park, Illinois and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Ann E Montgomery, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1114096179
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePLAZA PHARMACY
Location Address1 ERIE CTOak Park, IL 60302-2566
Mailing Address1 Erie CtOak Park, IL 60302-2566 · (708) 763-1398 · Fax (708) 383-9884
Phone(708) 763-1398
Fax(708) 383-9884
Organization SubpartNo
Authorized OfficialAnn E MontgomeryDirector Of Pharmacy · (708) 763-1398
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114096179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1 ERIE CT, Oak Park, IL 60302
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Other Names 1

Other NameWest Suburban Medical Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0665351

West Suburban Medical Center · Oak Park, IL
Active · expires Feb 27, 2027
CLIA Number14D0665351
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Randall K. Mcgivney
Laboratory Phone(708) 763-6635
Laboratory LocationWest Suburban Medical Center3 Erie Court, Oak Park, IL 60302
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID S SPRINGER M.D.
Ophthalmology
1 ERIE CT, STE 6140
OAK PARK, IL 60302
Cook County (708) 848-2400
ASFIYA T AZIZUDDIN MD
Family Medicine
1 ERIE CT, SUITE 4010
OAK PARK, IL 60302
Cook County (708) 848-4630
DR. ROBERT D ZIMMERMAN M.D.
Urology
1 ERIE CT, SUITE 4030
OAK PARK, IL 60302
Cook County (708) 386-7888
MARIA SLOBODIAN MD SC
Internal Medicine
1 ERIE CT, SUITE#7040
OAK PARK, IL 60302
Cook County (708) 848-5410
DR. KAMRAN HEYDARPOUR MD
Internal Medicine (Gastroenterology)
1 ERIE CT, SUITE NUMBER 3200
OAK PARK, IL 60302
Cook County (708) 763-8248
KENNETH MORRIS BLAIR M.D.
Family Medicine
1 ERIE CT, SUITE 6160
OAK PARK, IL 60302
Cook County (708) 763-1490
THOMAS M. HUNT OPA-C
Physician Assistant (Surgical)
1 ERIE CT, SUITE 7120
OAK PARK, IL 60302
Cook County (708) 848-4662
CAROLYN ELAINE FITZPATRICK M.D.
Family Medicine
1 ERIE CT, SUITE 6160
OAK PARK, IL 60302
Cook County (708) 763-1490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plaza Pharmacy's NPI number?

The NPI number for Plaza Pharmacy is 1114096179. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is also known as West Suburban Medical Center.

Where is Plaza Pharmacy located?

Plaza Pharmacy is located at 1 Erie Ct, Oak Park, IL 60302. The listed phone number is (708) 763-1398.

What is Plaza Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Plaza Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0665351) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plaza Pharmacy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.