Provider Type Icon

JESS BROWN VAMC NPI 1508971748


NPI Information

NPI: 1508971748
Provider Name: JESS BROWN VAMC
Classification: Military Hospital - 2865M2000X
Entity Type: Organization

Specialization: Military General Acute Care Hospital

Address:
820 S DAMEN AVE
CHICAGO, IL
ZIP 60612
Phone: (312) 569-6127
Get Directions

JESS BROWN VAMC is a military general acute care hospital military hospital in Chicago, IL. The provider is a Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. JESS BROWN VAMC NPI is 1508971748. The provider is registered as an organization entity type.

The provider's business location address is:

820 S DAMEN AVE
CHICAGO, IL
ZIP 60612-728
Phone: (312) 569-6127
Fax: (312) 569-6148

The provider's authorized official is Peng Liang Huang .
The authorized official title is Attending Physician and has the following contact phone number 312569-6127.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12865M2000XMilitary HospitalMilitary General Acute Care HospitalILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136051659MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.