Organization · Type 2 NPI
Hines Vamc
VA Clinic/Center · Bourbonnais, IL
NPI number
1780631317
Active
Practice location
581 William Latham Dr
Bourbonnais, IL 60914-2317
Fax (608) 821-7658
Mailing address
PO Box 94482
Cleveland, OH 44101-4482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1780631317
Hines Vamc's National Provider Identifier is 1780631317, issued on May 28, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Bourbonnais, IL. The record was last updated on Feb 23, 2023.