NPI 1013131085
Jesse Brown VA Medical Center
Practice location
- Address
- 820 S Damen Ave, Chicago, IL 60612-3728
- Phone
- (312) 569-8387
- Mailing address
- 18036 Poplar Ln, Country Club Hills, IL 60478-2932
Authorised official
- Name
- Danica R Alexander
- Title
- Nurse Manager, Surgical Services
- Phone
- (312) 569-8387
Registered specialties
Military General Acute Care Hospital
Primary
Registry record
- NPI
- 1013131085
- Entity type
- Organization
- NPI issued
- 12 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.