JESSE BROWN VA (NPI# 1104922533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104922533 |
| Entity Type | Organization |
| Organization Name | JESSE BROWN VA |
| Practice Address |
820 S Damen Ave Chicago IL 60612-3728 |
| Mailing Address |
16908 Ingleside Ave South Holland IL 60473-3063 |
| Practice Telephone | 3125697718 |
| Mailing Telephone | 7085675045 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MS. SHIRLEY ANN CAMPBELL (AMBULATORY CARE NURSE) |
| Authorized Official Telephone | 3125697718 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 041244811 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626562 | Jesse Brown Va | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2008-07-18 |
| 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 | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615836 | University of Illinois Hospital | Chronic Disease Hospital | 1463 W Winnemac Ave, Unit 2e, Chicago, IL 60640 | 2016-08-28 |
| 1598010456 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2012-07-17 |
| 1740568518 | Rush University Medical Center | Chronic Disease Hospital | 600 S Paulina St, Suite 527, Chicago, IL 60612-3806 | 2011-07-28 |
| 1033497110 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2011-07-24 |
| 1417265612 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-09-22 |
| 1861707846 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-08-13 |
| 1568777852 | John H Stroger Hospital | Chronic Disease Hospital | 627 S Wood St, Rm 832a, Chicago, IL 60612-3821 | 2010-08-11 |
| 1831401520 | University of Chicago Medical Center | Chronic Disease Hospital | 5841 S Maryland Ave, Mc 4028, Chicago, IL 60637-1447 | 2010-07-09 |
| 1881855773 | Saint Joseph Hospital | Chronic Disease Hospital | 2900 N Lake Shore Drive, Chicago, IL 60657 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428701 | Ingalls Dialysis Center | Chronic Disease Hospital | 2930 Montvale Dr Ste B, Springfield, IL 62704-5376 | 2020-02-08 |
| 1124344874 | Rosalind Franklin University At Chicagomedical School | Chronic Disease Hospital | 113 W Arden Ln, Round Lake, IL 60073-5658 | 2010-04-19 |
| 1235269937 | Andres Cornejo | Chronic Disease Hospital | 215 N Forest Ave, Mt Prospect, IL 60056-2303 | 2007-03-06 |
| 1821346354 | Loyola University Medical Center | Chronic Disease Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-08-15 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1215251566 | Sten V Cantwell | Chronic Disease Hospital | 1401 E State St, Rockford, IL 61104-2315 | 2010-03-16 |
| 1982853255 | Uic | Chronic Disease Hospital | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-09-11 |
| 1306822200 | Memorial Medical Center | Chronic Disease Hospital | 701 N 1st St, Mab 528, Springfield, IL 62781-0001 | 2005-12-22 |
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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.