EDWARD HINES JR. VA HOSPITAL (NPI# 1013212356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013212356 |
| Entity Type | Organization |
| Organization Name | EDWARD HINES JR. VA HOSPITAL |
| Practice Address |
5800 W 105th St Unit 2a Oak Lawn IL 60453-4385 |
| Mailing Address |
5800 W. 105th Street Unit 2a Oak Lawn IL 60453 |
| Practice Telephone | 7733398253 |
| Practice Fax Number | 7082217171 |
| Mailing Telephone | 7733398253 |
| Mailing Fax Number | 7082217171 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | EUGENE LEUNG (PHARMACY MANAGER) |
| Authorized Official Telephone | 7082027845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 049131898 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013440361 | Edward Hines Jr. Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2017-04-04 |
| 1518314970 | Edward Hines Jr. Va Hospital | Clinic/Center | 5000 S 5th Ave, Hines, IL 60141-3030 | 2016-05-16 |
| 1427329226 | Edward Hines Jr. Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2012-01-25 |
| 1760618680 | Edward Hines Jr. Va Hospital | Rehabilitation, Substance Use Disorder Unit | 5000 S 5th Ave, Bldg 228, Hines, IL 60141-3030 | 2009-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EDWARD HINES JR VA HOSPITAL | 5000 S 5th Ave, Hines, IL 60141-3030 |
| Street Address |
5800 W 105TH ST UNIT 2A |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-4385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114238649 | Edward Hines Jr Va | Military Hospital | 1110 W Wood Ave, Addison, IL 60101-5720 | 2010-06-30 |
| 1770819211 | Edward Hines Veteran's Hospital | Military Hospital | 5344 Carpenter St, Downers Grove, IL 60515-4807 | 2009-10-18 |
| 1316181183 | Resurrection Westlake Hospital | Military Hospital | 7311 W Montrose Ave, Norridge, IL 60706-1157 | 2009-04-23 |
| 1659401909 | Hines Va Hospital | Military Hospital | 5923 Ridge Ave, Berkeley, IL 60163-1545 | 2007-03-06 |
| 1679618482 | Hines Va Hospital | Military Hospital | 13037 S Houston Ave, Chicago, IL 60633-1704 | 2007-02-20 |
| 1366584815 | Hines Va Hospital | Military Hospital | 823 S Cuyler Ave, Oak Park, IL 60304-1507 | 2007-02-13 |
| 1891836037 | Hines Va | Military Hospital | 115 Fleetwood Dr, Glendale Heights, IL 60139-1931 | 2007-02-09 |
| 1245370907 | Edward Hines Va Hospital | Military Hospital | 1417 Carol St, Park Ridge, IL 60068-1205 | 2007-02-08 |
| 1285017848 | Federal Health Care Center | Military Hospital | 3001 Green Bay Rd, North Chicago, IL 60064 | 2015-07-01 |
| 1417202839 | Captain James A. Lovell Federal Health Care Center | Military Hospital | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2012-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDWARD HINES JR. VA HOSPITAL.
| 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.