Westside Medical Assocs, Ltd.

NPI #1972641223 in Lombard, Illinois

Provider Information

NPI Number: 1972641223
Entity Type: Organization
Organization Name: Westside Medical Assocs, Ltd.
Primary Specialty: Internal Medicine
Enumeration Date: Feb 1, 2007
Last Updated: Feb 2, 2010

Practice Location

Address: 2340 S HIGHLAND AVE
Address 2: SUITE 210
City: Lombard
State: Illinois
ZIP Code: 60148-5371
Phone: (630) 932-2020

Authorized Official

Name: DR. RICHARD C. MATTIS, M.D.
Title: CHIEF EXECUTIVE OFFICER
Phone: (630) 932-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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