# VETERANS ADMINISTRATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jesse Brown Veterans Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285985770
- **Authorized official:** JAMES MITCHELL LCSW (SUPERVISORY SOCIAL WORK)
- **Authorized official phone:** (773) 569-6550

## Contact information

- **Practice address:** 820 S DAMEN AVE, CHICAGO, IL 60612-3728
- **Practice address phone:** (312) 560-7907
- **Mailing address:** 2657 W 59TH PL, MERRILLVILLE, IN 46410-2139
- **Mailing address phone:** (773) 671-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 54132 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2012
- **Last updated:** 09/25/2012