NPI 1497716922
Jesse Brown VA Medical Center
Practice location
- Address
- 820 S Damen Ave, Chicago, IL 60612-3728
- Phone
- (312) 569-8387
- Mailing address
- 1244 Beverly Dr, Lake Villa, IL 60046-6408
Authorised official
- Name
- Rhetta Turner
- Title
- Administrative Officer, Anesthesiol
- Phone
- (312) 569-8387
Registered specialties (3)
Military General Acute Care Hospital
Primary
Military General Acute Care Hospital
Military General Acute Care Hospital
Registry record
- NPI
- 1497716922
- Entity type
- Organization
- NPI issued
- 2 Apr 2006
- 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.