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Organization
EDWARD HINES JR. VA HOSPITAL
Active
Organization
EDWARD HINES JR. VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA A UEMURA RD LDN CNSC (NUTRITION SUPPORT DIETITIAN)
(708) 203-7576
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
(708) 202-2252
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
(708) 202-2252
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
164.003239
IL
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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