AUBURN GRESHAM VA CLINIC (1270) INSTITUTION (4)

Name	Value
NAME	AUBURN GRESHAM VA CLINIC
STATE	ILLINOIS
STREET ADDR. 1	7731 S HALSTED
CITY	CHICAGO
ZIP	60620-2412
OFFICIAL VA NAME	AUBURN GRESHAM VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: JESSE BROWN VAMC
BILLING FACILITY NAME	CHICAGO VA CBOC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1568402378
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	537HA
IDENTIFIER	CODING SYSTEM: NPI ID: 1568402378 CODING SYSTEM: VASTANUM ID: 537HA