HINES VA HOSPITAL (NPI# 1609972090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609972090 |
| Entity Type | Organization |
| Organization Name | HINES VA HOSPITAL |
| Practice Address |
5th Ave and Roosevelt Va Hospital Hines IL 60141 |
| Mailing Address |
Roosevelt and 5th Avenue Va Hospital Hines IL 60141 |
| Practice Telephone | 7082022844 |
| Practice Fax Number | 7082027936 |
| Mailing Telephone | 7082022844 |
| Mailing Fax Number | 7082027936 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SUDHA R GUPTA (STAFF PHYSICIAN) |
| Authorized Official Telephone | 7082022844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558525246 | Hines Va Hospital | Clinic/Center | 14643 Keystone Ave, Midlothian, IL 60445-2746 | 2008-07-11 |
| 1336301134 | Hines Va Hospital | General Acute Care Hospital | 1643 E Lincoln Ave, Des Plaines, IL 60018-1730 | 2008-07-02 |
| 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 |
| 1891881058 | Hines Va Hospital | Military Hospital | 10600 31st St, Westchester, IL 60154-5110 | 2006-10-05 |
| 1376641191 | Hines Va Hospital | General Acute Care Hospital | 13824 S Petersburg Dr, Plainfield, IL 60544-7076 | 2006-09-20 |
| 1689717126 | Hines Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2007-02-15 |
| Street Address |
5TH AVE AND ROOSEVELT VA HOSPITAL |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003859828 | Melanie R Querubin-atonson | Physical Medicine & Rehabilitation | 5th Ave and Roosevelt, Hines, IL 60141 | 2006-06-13 |
| 1407932163 | Roy Y. Kurotsuchi | Obstetrics & Gynecology | 5th Ave and Roosevelt, Hines, IL 60141 | 2006-10-27 |
| 1588748735 | Naomi Ray Hubbert | Registered Nurse | 5th Ave and Roosevelt, Hbpc (181b), Hines, IL 60141 | 2006-10-24 |
| 1225062029 | Nanghee Kim | Nurse Practitioner | 5th Ave and Roosevelt, Hines, IL 60141-5000 | 2006-07-10 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952567174 | Edward Hines V.a. Hospital | General Acute Care Hospital | 5000 S 5th Ave, Building 228 Room 1061, Hines, IL 60141-3030 | 2008-08-07 |
| 1114186772 | Hines Va | General Acute Care Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2008-06-08 |
| 1932327715 | Hines Veterans Hospital | General Acute Care Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2007-04-24 |
| 1669565297 | George J. Siegel | General Acute Care Hospital | Neurology Service (127), Bld 1 Rm F201 Edward Hines Jr, Va Hospital, Hines, IL 60141-5000 | 2006-10-02 |
| 1962443788 | Department of Veterans Affairs | General Acute Care Hospital | Hines Va Hospital, 5th Ave. and Roosevelt Road, Hines, IL 60141 | 2006-06-10 |
| 1427007863 | Hines Vamc | General Acute Care Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
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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.