EVANSTON CBOC (1377)    INSTITUTION (4)

Name Value
NAME EVANSTON CBOC
STATE ILLINOIS
STREET ADDR. 1 1942 DEMPSTER STREET
CITY EVANSTON
ZIP 60202-1016
OFFICIAL VA NAME EVANSTON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EVANSTON VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1013962554
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 556GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1013962554
  • CODING SYSTEM:   VASTANUM
    ID:   556GA