# EDWARD J. HINES JR. VA HOSPITAL

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

## Provider details

- **NPI number:** 1215173810
- **Authorized official:** MISS LOLITA DRUMMOND LSW, CADC (SOCIAL WORKER)
- **Authorized official phone:** (707) 202-8387

## Contact information

- **Practice address:** 5000 S 5TH AVE, HINES, IL 60141-3030
- **Practice address phone:** (708) 202-8387
- **Mailing address:** 5650 N SHERIDAN RD, APT. 22C, CHICAGO, IL 60660-4879
- **Mailing address phone:** (773) 878-8729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 150004789 | IL | Yes |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 01/02/2009