JESSE BROWN VA MEDICAL CENTER NPI 1093011702

NPI Information

NPI: 1093011702
Provider Name: JESSE BROWN VA MEDICAL CENTER
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
820 S DAMEN AVE
CHICAGO, IL
ZIP 60612
Phone: (312) 569-7271
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JESSE BROWN VA MEDICAL CENTER is a va clinic center in Chicago, IL. JESSE BROWN VA MEDICAL CENTER NPI is 1093011702. 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) 569-7271

The provider's authorized official is S. Joseph Maurice .
The authorized official title is Consultant and has the following contact phone number (312) 569-7271.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 1/28/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA	036037238	ILLINOIS	Yes

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

NPI Synchronization or Removal

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