Provider Demographics
NPI:1962111088
Name:WESTBERG CORPORATION
Entity type:Organization
Organization Name:WESTBERG CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:WESTBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-531-2075
Mailing Address - Street 1:19042 S SADDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-9062
Mailing Address - Country:US
Mailing Address - Phone:815-531-2075
Mailing Address - Fax:
Practice Address - Street 1:19042 S SADDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60404-9062
Practice Address - Country:US
Practice Address - Phone:815-531-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care