# VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1255521258
- **Authorized official:** DR. THALERNG BALACHANDRA (PHYSICIAN)
- **Authorized official phone:** (847) 688-1900

## Contact information

- **Practice address:** 3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
- **Practice address phone:** (847) 688-1900
- **Mailing address:** 3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 36059758 | IL | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007
