| NAME |
HOFFMAN ESTATES VA CLINIC |
| STATE |
ILLINOIS |
| STREET ADDR. 1 |
4885 HOFFMAN BOULEVARD |
| CITY |
HOFFMAN ESTATES |
| ZIP |
60192-3726 |
| OFFICIAL VA NAME |
HOFFMAN ESTATES VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HOFFMAN ESTATES VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1316992894
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
578GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1316992894
-
- CODING SYSTEM: VASTANUM
- ID: 578GE
-
- CODING SYSTEM: CLIA
- ID: 14D1016774
|
