CHICAGO VAMC (NPI# 1982656112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982656112 |
| Entity Type | Organization |
| Organization Name | CHICAGO VAMC |
| Other Organization Name | CHICAGO HEIGHTS VA CBOC |
| Practice Address |
30 E 15th St Suite 207 Chicago Heights IL 60411-3459 |
| Mailing Address |
Po Box 5245 Madison WI 53705-0245 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-09-29 |
| 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 |
|---|---|
| Chicago Heights 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 |
| 1952354672 | Chicago Vamc | Clinic/Center | 9301 Madison St, Crown Point, IN 46307-7745 | 2006-05-17 |
| 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 |
30 E 15TH ST SUITE 207 |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523647 | Ramesh Soundararajan | Internal Medicine | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2006-01-20 |
| 1780167841 | Emerge Medstaffing LLC | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2018-09-13 |
| 1548638299 | Pushpa Soundararajan | Dietitian, Registered | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2015-09-11 |
| 1629331087 | Richard Michael Louissaint | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2012-06-20 |
| 1457629966 | St James Hospital United States Catholic Conference | Internal Medicine | 30 E 15th St, Suite # 308, Chicago Heights, IL 60411-3459 | 2011-12-12 |
| 1871885731 | Amit Dhingra | Pharmacist | 30 E 15th St, Suite 204, Chicago Heights, IL 60411-3459 | 2011-05-11 |
| 1295055291 | Tilemahos D Spyratos | Internal Medicine | 30 E 15th St, Ste 207, Chicago Heights, IL 60411-3459 | 2010-06-02 |
| 1700013166 | Raghuvansh Kumar M.d;s.c | Physical Medicine & Rehabilitation | 30 E 15th St, Suite 312, Chicago Heights, IL 60411-3459 | 2009-06-12 |
| 1831324789 | Heather Ines Dieperink | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2009-05-21 |
| 1821237199 | Mdrx Medical,p.c. | Family Medicine | 30 E 15th St, Suite 308, Chicago Heights, IL 60411-3459 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426709 | Danville Vamc | Clinic/Center | 207 E Hamilton Rd, Bloomington, IL 61704-7527 | 2019-09-19 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1558751776 | St. Louis Jc Vamc | Clinic/Center | 3403 Heartland Street, Marion, IL 62959-6393 | 2015-01-26 |
| 1669860458 | Chicago Vamc | Clinic/Center | 1141 South California Avenue, Chicago, IL 60608-9998 | 2014-12-31 |
| 1992067995 | St. Louis Jc Vamc | Clinic/Center | 1130 E Walnut St, Suite 100, Carbondale, IL 62901-5007 | 2012-06-14 |
| 1497012652 | St. Louis Jc Vamc | Clinic/Center | 608 Rollie Moore Drive, Harrisburg, IL 62946-9998 | 2012-04-12 |
| 1851660724 | Omaha Vamc | Clinic/Center | 406 Avenue C, Sterling, IL 61081-3407 | 2011-12-22 |
| 1902840622 | St. Louis Jc Vamc | Clinic/Center | 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2006-06-15 |
| 1629016845 | Omaha Vamc | Clinic/Center | 6020 Broadway St, Quincy, IL 62305-7919 | 2006-06-02 |
| 1902843360 | Oak Park Va Clinic | Clinic/Center | 149 S Oak Park Ave, Oak Park, IL 60302-2901 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.