JESSE BROWN VA MEDICAL CENTER (NPI# 1013131085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013131085 |
Entity Type | Organization |
Organization Name | JESSE BROWN VA MEDICAL CENTER |
Practice Address |
820 S Damen Ave Chicago IL 60612-3728 |
Mailing Address |
18036 Poplar Ln Country Club Hills IL 60478-2932 |
Practice Telephone | 3125698387 |
Mailing Telephone | 7087993118 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DANICA R ALEXANDER (NURSE MANAGER, SURGICAL SERVICES) |
Authorized Official Telephone | 3125698387 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
IL | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932438108 | Jesse Brown Va Medical Center | Rehabilitation Hospital | 215 W 59th St, Apt 17, Hinsdale, IL 60521-4973 | 2009-12-16 |
1083655336 | Jesse Brown Va Medical Center | Clinic/Center | 820 S Damen, Chicago, IL 60612 | 2006-06-09 |
1255371928 | Jesse Brown Va Medical Center | General Acute Care Hospital | Pm&r (117), 820 South Damen Ave, Chicago, IL 60612 | 2006-06-08 |
1851650360 | Jesse Brown Va Medical Center | General Acute Care Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2012-05-04 |
1871860346 | Jesse Brown Va Medical Center | Dietitian, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2011-11-28 |
1093011702 | Jesse Brown Va Medical Center | Clinic/Center | 820 S Damen Ave, Chicago, IL 60612-3728 | 2011-01-28 |
1750321303 | Jesse Brown Va Medical Center | Clinic/Center | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-06-08 |
1649219189 | Jesse Brown Va Medical Center | Clinic/Center | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-06-06 |
1497716922 | Jesse Brown Va Medical Center | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-04-02 |
Street Address |
820 S DAMEN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60612-3728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679561260 | Jesse Brown Veterans Administration Hospital | General Acute Care Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2005-10-09 |
1528678463 | Jennifer Lee | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-08-05 |
1770101115 | Natalia Irena Szynalik | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-07-13 |
1568088706 | Benjamin Galloway | Podiatrist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-23 |
1588280937 | Laine Ferrill | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-22 |
1598380560 | Regan Kelley | Speech-Language Pathologist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-15 |
1609490531 | Jacob Conditt | Student in an Organized Health Care Education/Training Program | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-06 |
1023632551 | Stephen Macrowski | Dentist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-01 |
1588286256 | Nisha Utpal Patel | Dentist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-05-15 |
1568084804 | Tuhin Mukherjee | Podiatrist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
Taxonomy Code | 2865M2000X |
Grouping | Hospitals |
Classification | Military Hospital |
Specialization | Military General Acute Care Hospital |
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. |
Notes: [1/1/2005: title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629402920 | Bridgette Love | Military Hospital | 4045 S Lake Park Ave # 302, Chicago, IL 60653-2578 | 2013-08-22 |
1508971748 | Jess Brown Vamc | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-20 |
1497716922 | Jesse Brown Va Medical Center | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184097792 | Lukasz Ryczek | Military Hospital | 6950 W Forest Preserve Dr Apt 213, Norridge, IL 60706-7196 | 2015-11-04 |
1568638948 | Edward Hines Jr. Hospital | Military Hospital | 1085 Idaho St, Carol Stream, IL 60188-1348 | 2008-05-05 |
1013440361 | Edward Hines Jr. Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2017-04-04 |
1679842306 | Dfas-jfll/in | Military Hospital | 310 W Losey St, Scott Afb, IL 62225-5250 | 2011-12-27 |
1649445750 | Va Medical Center | Military Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2008-04-29 |
Please comment or provide details below to improve the information on JESSE BROWN VA MEDICAL CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.