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NPI Code Detail

MEDICARE: HINES VA HOSPITAL

MEDICARE: HINES VA HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalIL

General Provider Information

NPI Number : 1336301134
Entity Type Code : Organization
Provider Name (Legal Business Name) : HINES VA HOSPITAL
Provider Business Mailing Address
First Line : 1643 E LINCOLN AVE
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-1730
Country : US
Telephone Number : 708-202-2408
Fax Number :
Provider Business Practice Location Address
First Line : 1643 E LINCOLN AVE
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-1730
Country : US
Telephone Number : 708-202-2408
Fax Number :
Authorized Official
Title or Position : RN/STAFF NURSE
Name : MS. CHRISTINE MONARI
Credential :
Telephone Number : 708-202-2408
Provider Enumeration Date : 07/02/2008
Last Update Date : 07/02/2008

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Directions to “HINES VA HOSPITAL ” Practice Location

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