Organization · Type 2 NPI

Jesse Brown Va

Chronic Disease Hospital · Chicago, IL

NPI number 1104922533 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Mailing address

16908 Ingleside Ave
South Holland, IL 60473-3063

Specialties and licenses

TaxonomyCodeLicense
Chronic Disease Hospital Primary 281P00000X041244811 (IL)

Chronic Disease Hospital: (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition…

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About NPI 1104922533

Jesse Brown Va's National Provider Identifier is 1104922533, issued on Sep 15, 2006. The primary taxonomy on file is Chronic Disease Hospital (281P00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 19, 2008.