OAK LAWN CBOC (2102) INSTITUTION (4)

Name	Value
NAME	OAK LAWN CBOC
STATE	ILLINOIS
STREET ADDR. 1	10201 S CICERO AVE
CITY	OAK LAWN
ZIP	60453-4023
OFFICIAL VA NAME	OAK LAWN CBOC (578GG)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: HINES, IL VAMC
BILLING FACILITY NAME	OAK LAWN VA CBOC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1154368710
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	578GG
IDENTIFIER	CODING SYSTEM: NPI ID: 1154368710 CODING SYSTEM: VASTANUM ID: 578GG CODING SYSTEM: CLIA ID: 14D1016782