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Organization
VETERANS ADMINISTRATION
Active
Organization
VETERANS ADMINISTRATION
Active
Other names
Jesse Brown Veterans Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MITCHELL LCSW (SUPERVISORY SOCIAL WORK)
(773) 569-6550
Entity
Organization
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 560-7907
Mailing address
2657 W 59TH PL, MERRILLVILLE, IN 46410-2139
(773) 671-5111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
54132
TX
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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