JESSE BROWN VAMC (198)    INSTITUTION (4)

Name Value
NAME JESSE BROWN VAMC
STATE ILLINOIS
STREET ADDR. 1 820 SOUTH DAMEN AVENUE
CITY CHICAGO
ZIP 60612-3728
OFFICIAL VA NAME JESSE BROWN VA MEDICAL CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHICAGO VAMC
ST. ADDR. 1 (MAILING) 820 SOUTH DAMEN AVENUE
CITY (MAILING) CHICAGO
STATE (MAILING) ILLINOIS
ZIP (MAILING) 60612-3728
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1215986047
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 537
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1215986047
  • CODING SYSTEM:   VASTANUM
    ID:   537
  • CODING SYSTEM:   CLIA
    ID:   14D0988057