EDWARD HINES JR. HOSPITAL (NPI# 1568638948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568638948 |
| Entity Type | Organization |
| Organization Name | EDWARD HINES JR. HOSPITAL |
| Practice Address |
1085 Idaho St Carol Stream IL 60188-1348 |
| Practice Telephone | 6308719531 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MS. THRESIAMMA J. PARACKAL (REGISTERED NURSE) |
| Authorized Official Telephone | 7082022020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
041281069 | IL | Hospitals |
| 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 |
1085 IDAHO ST |
| City | CAROL STREAM |
| State | IL |
| Zip Code | 60188-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496296 | Vita Pharmacy Inc | Pharmacy | 279-281 W Elk Trail Rd, Carol Stream, IL 60188 | 2019-06-20 |
| 1992287346 | Anjana Matiwala | Pharmacist | 1600 Mcconnor Parkway, Schaumburg, IL 60188 | 2018-09-02 |
| 1588145197 | Rita D Patel | Family Medicine | 858 Papoose Ct., Carol Stream, IL 60188 | 2018-08-22 |
| 1881103638 | Lineta Kundrotiene | Pharmacist | 615 Appaloosa Ct, Carol Stream, IL 60188 | 2017-09-25 |
| 1225409345 | Dr David Cavazos Dc LLC | Chiropractor | 66 E North Ave, Carol Stream, IL 60188 | 2015-10-15 |
| 1548657901 | Mark Babinski | Chiropractor | 1189 N Gary Ave, Carol Stream, IL 60188 | 2015-04-22 |
| 1609267095 | Jocelyn Tolentino | Obstetrics & Gynecology | 630 North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2015-02-06 |
| 1265798532 | William Vogds | Chiropractor | 25 W 330 Geneva Rd, Carol Stream, IL 60188 | 2012-04-11 |
| 1740557073 | Mary Jene Howe | Pharmacist | 540 Schmale, Carol Stream, IL 60188 | 2011-12-01 |
| 1992087878 | Patricia J Zurek | Pharmacist | 540 Schmale Rd, Carol Stream, IL 60188 | 2011-09-15 |
| Find all providers in zip 60188 | ||||
| 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 |
| 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 |
| 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 |
| City | CAROL STREAM |
| Zip Code | 60188 |
Please comment or provide details below to improve the information on EDWARD HINES JR. 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.