| NAME |
CHICAGO HEIGHTS, IL |
| STATE |
ILLINOIS |
| STREET ADDR. 1 |
211 DIXIE HWY STE 4 |
| CITY |
CHICAGO HEIGHTS |
| ZIP |
60411-1696 |
| OFFICIAL VA NAME |
CHICAGO HEIGHTS CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CHICAGO HEIGHTS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
30 E 15th ST. SUITE 207 |
| CITY (MAILING) |
CHICAGO HEIGHTS |
| STATE (MAILING) |
ILLINOIS |
| ZIP (MAILING) |
60411-3459 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1982656112
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
537GA |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1982656112
-
- CODING SYSTEM: VASTANUM
- ID: 537GA
-
- CODING SYSTEM: CLIA
- ID: 14D1002329
|
