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Contact Information

JESSE BROWN VA MEDICAL CENTER
820 S DAMEN AVE
CHICAGO, IL60612-3728
 Phone: 312-569-7271
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for JESSE BROWN VA MEDICAL CENTER

NPI Number 1093011702
LBN Legal business name JESSE BROWN VA MEDICAL CENTER
Authorized official S. JOSEPH MAURICE - (CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2011
Last updated 01/28/2011 - About 15 years ago
Identifiers
IL License # 036037238
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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