EDWARD HINES JR. VA HOSPITAL (NPI# 1013440361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013440361 |
Entity Type | Organization |
Organization Name | EDWARD HINES JR. VA HOSPITAL |
Practice Address |
5000 S 5th Ave Hines IL 60141-3030 |
Practice Telephone | 7082028387 |
Practice Fax Number | 7082022252 |
Mailing Telephone | 7082028387 |
Mailing Fax Number | 7082022252 |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |
Authorized Official Name | MS. TERESA A UEMURA (NUTRITION SUPPORT DIETITIAN) |
Authorized Official Telephone | 7082037576 |
Authorized Official Credential | RD LDN CNSC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
164.003239 | IL | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013212356 | Edward Hines Jr. Va Hospital | Military Hospital | 5800 W 105th St, Unit 2a, Oak Lawn, IL 60453-4385 | 2011-01-18 |
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 |
5000 S 5TH AVE |
City | HINES |
State | IL |
Zip Code | 60141-3030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508865452 | Patricia M Knisley | Dietitian, Registered | 5000 S 5th Ave, Food and Nutrition Services (120d), Hines, IL 60141-3030 | 2005-07-21 |
1821699273 | Matthew Nakeem Williams | Registered Nurse | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-11-03 |
1225638877 | Christine Marie Desparrois | Technician/Technologist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-31 |
1558961565 | Maggie Elizabeth Murphy | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-28 |
1689273781 | Carrie Gatz | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-20 |
1124626304 | Anne Kathryn Thorndyke | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-11 |
1033726781 | Josmi Joseph | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-28 |
1558975003 | Phillip M Christenson | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
1730793266 | Tanya Elaine Pringle | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
1912518796 | Dana Viola Shepherd | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
Find all providers in zip 60141 |
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 |
---|---|---|---|---|
1184097792 | Lukasz Ryczek | Military Hospital | 6950 W Forest Preserve Dr Apt 213, Norridge, IL 60706-7196 | 2015-11-04 |
1629402920 | Bridgette Love | Military Hospital | 4045 S Lake Park Ave # 302, Chicago, IL 60653-2578 | 2013-08-22 |
1568638948 | Edward Hines Jr. Hospital | Military Hospital | 1085 Idaho St, Carol Stream, IL 60188-1348 | 2008-05-05 |
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 |
1013131085 | Jesse Brown Va Medical Center | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2007-04-12 |
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 |
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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.