# EDWARD HINES JR. VA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013212356
- **Authorized official:** EUGENE LEUNG (PHARMACY MANAGER)
- **Authorized official phone:** (708) 202-7845

## Contact information

- **Practice address:** 5800 W 105TH ST, UNIT 2A, OAK LAWN, IL 60453-4385
- **Practice address phone:** (773) 339-8253
- **Practice address fax:** (708) 221-7171
- **Mailing address:** 5800 W. 105TH STREET, UNIT 2A, OAK LAWN, IL 60453
- **Mailing address phone:** (773) 339-8253
- **Mailing address fax:** (708) 221-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 049131898 | IL | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/18/2011