CHICAGO VAMC (NPI# 1952354672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952354672 |
| Entity Type | Organization |
| Organization Name | CHICAGO VAMC |
| Other Organization Name | CROWN POINT IN VA CBOC |
| Practice Address |
9301 Madison St Crown Point IN 46307-7745 |
| Mailing Address |
Po Box 5245 Madison WI 53705-0245 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crown Point In VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669860458 | Chicago Vamc | Clinic/Center | 1141 South California Avenue, Chicago, IL 60608-9998 | 2014-12-31 |
| 1568402378 | Chicago Vamc | Clinic/Center | 7731 S Halsted St, Chicago, IL 60620-2412 | 2006-06-08 |
| 1639126535 | Chicago Vamc | Clinic/Center | 211 E Ontario St, 12th Floor, Chicago, IL 60611-3468 | 2006-05-27 |
| 1982656112 | Chicago Vamc | Clinic/Center | 30 E 15th St, Suite 207, Chicago Heights, IL 60411-3459 | 2006-05-16 |
| 1215986047 | Chicago Vamc | General Acute Care Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-05-09 |
| 1518915172 | Chicago Vamc | Department of Veterans Affairs (VA) Pharmacy | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-05-05 |
| 1821046848 | Chicago Vamc | Department of Veterans Affairs (VA) Pharmacy | 9301 Madison St, Crown Point, IN 46307-7745 | 2006-05-04 |
| Street Address |
9301 MADISON ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556892 | Dawn L Hacker | Family Medicine | 9301 Madison St, Crown Point, IN 46307-7745 | 2005-05-31 |
| 1790392744 | Gregory Scott Bowers | Pharmacist | 9301 Madison St, Crown Point, IN 46307-7745 | 2020-09-24 |
| 1811400757 | Aarika Nicole Gonzalez | Social Worker | 9301 Madison St, Crown Point, IN 46307-7745 | 2017-11-14 |
| 1023485125 | Oshin Safarian | Dentist | 9301 Madison St, Crown Point, IN 46307-7745 | 2015-08-25 |
| 1053659870 | Tiffany Nicole Edwards | Social Worker | 9301 Madison St, Crown Point, IN 46307-7745 | 2013-01-29 |
| 1619240363 | Felicia Renee Jeffers | Physical Medicine & Rehabilitation | 9301 Madison St, Crown Point, IN 46307-7745 | 2012-02-10 |
| 1386899367 | Ramon Medina Gerona Jr. | Physical Therapist | 9301 Madison St, Crown Point, IN 46307-7745 | 2008-11-18 |
| 1821046848 | Chicago Vamc | Department of Veterans Affairs (VA) Pharmacy | 9301 Madison St, Crown Point, IN 46307-7745 | 2006-05-04 |
| 1528058609 | Alice M Hunter | Nurse Practitioner | 9301 Madison St, Crown Point, IN 46307-7745 | 2005-10-28 |
| 1710976980 | James Harland Kirk | Social Worker | 9301 Madison St, Crown Point, IN 46307-7745 | 2005-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on CHICAGO VAMC.
| 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.