NPI 1245370907
Edward Hines VA Hospital
Practice location
- Address
- 1417 Carol St, Park Ridge, IL 60068-1205
- Phone
- (847) 692-1956
Authorised official
- Name
- Bini Alex Theccanat
- Title
- Registered Respiratory Therapist
- Phone
- (708) 202-8387
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1245370907
- Entity type
- Organization
- NPI issued
- 8 Feb 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.