NPI 1659401909

Hines VA Hospital

Organisation Military Hospital Berkeley, IL

Practice location

Address: 5923 Ridge Ave, Berkeley, IL 60163-1545
Phone: (708) 202-8387

Authorised official

Name: Jacalyn R Lyles-Carroll
Title: Crt
Phone: (708) 202-8387

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

Other Military Hospital providers in Illinois →

Registry record

NPI: 1659401909
Entity type: Organization
NPI issued: 6 Mar 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.