VA HOSPITAL (NPI# 1629220546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629220546 |
| Entity Type | Organization |
| Organization Name | VA HOSPITAL |
| Practice Address |
3001 Green Bay Rd North Chicago IL 60064-3048 |
| Mailing Address |
205 W Ravine Ave Willow Springs IL 60480-1455 |
| Practice Telephone | 8476881900 |
| Mailing Telephone | 3122066000 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | MR. JOHN M SIEJA (NUCLEAR MEDICINE TECHNOLOGIST) |
| Authorized Official Telephone | 3122066000 |
| Authorized Official Credential | CNMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 032417 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149106 | Va Hospital | Military Hospital | 8967 Via Vista Cir, Las Vegas, NV 89147-6536 | 2015-07-13 |
| 1174860118 | Va Hospital | General Acute Care Hospital | 534 Altoona Pl, Pittsburgh, PA 15228-1204 | 2013-01-10 |
| 1306181300 | Va Hospital | Military Hospital | 138 Fremont Dr, Summerville, SC 29483-7759 | 2012-12-01 |
| 1306029137 | Va Hospital | Nursing Facility/Intermediate Care Facility | 532 Aana Ave, Baltic, SD 57003-2033 | 2007-12-15 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1942210083 | Va Hospital | General Acute Care Hospital | 2014 Monarch Hollow Ln, Katy, TX 77449-7093 | 2006-08-09 |
| 1154340446 | Va Hospital | General Acute Care Hospital | 1201 N. W. 16 St., Miami, FL 33125 | 2006-07-18 |
| 1801296900 | Va Hospital | Psychiatric Unit | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-08-26 |
| 1023450640 | Va Hospital | Nursing Facility/Intermediate Care Facility | University Drive C, Pittsburgh, PA 15240 | 2013-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VA Hospitality L.L.C. | 5 Adams St, Edison, New Jersey 08820 |
| Street Address |
3001 GREEN BAY RD |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640290 | Shakira Ife Brown | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2005-06-24 |
| 1023628609 | Michelle Therese Dubil | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-08-07 |
| 1710504758 | Todd David Johnson | Student in an Organized Health Care Education/Training Program | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1033735022 | Piotr Pawel Krolikowski | Internal Medicine | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1457977555 | Cortney Muns | Clinical Nurse Specialist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-24 |
| 1962028241 | Samantha Lynn Tuminaro | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1003432485 | Sara Elise Ringle | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1609492065 | Kaylee Elizabeth Caniff | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1821613761 | Ana R Tomlinson | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
| 1760007702 | William Joel Shumaker | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659667277 | United States Navy | Military Hospital | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2011-06-22 |
| 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 |
| 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 |
| 1114287059 | United States Air Force | Military Hospital | 310 W Losey St, Scott Afb, IL 62225-5250 | 2012-05-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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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.