Organization · Type 2 NPI

Jesse Brown Va Medical Center

VA Clinic/Center · Chicago, IL

NPI number 1093011702 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Call (312) 569-7271 Map

Mailing address

6544 N Longmeadow Ave
Lincolnwood, IL 60712-3206

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200X036037238 (IL)

VA Clinic/Center: Definition to come...

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About NPI 1093011702

Jesse Brown Va Medical Center's National Provider Identifier is 1093011702, issued on Jan 28, 2011. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Chicago, IL. The record was last updated on Jan 28, 2011.