CHICAGO VA MOBILE CLINIC (4563) INSTITUTION (4)

Name	Value
NAME	CHICAGO VA MOBILE CLINIC
STATE	ILLINOIS
STREET ADDR. 1	820 S DAMEN AVE
CITY	CHICAGO
ZIP	60612-3728
OFFICIAL VA NAME	CHICAGO VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 12 PARENT FACILITY PARENT OF ASSOCIATION: JESSE BROWN VAMC
BILLING FACILITY NAME	CHICAGO VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1831978014
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	537QB
HISTORY