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Organization
JESSE BROWN VA MEDICAL CENTER
Active
Organization
JESSE BROWN VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RHETTA TURNER (ADMINISTRATIVE OFFICER, ANESTHESIOL)
(312) 569-8387
Entity
Organization
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
1244 BEVERLY DR, LAKE VILLA, IL 60046-6408
(847) 265-1654
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
IL
2865M2000X
Military General Acute Care Hospital
—
WI
Other
Enumeration date
04/02/2006
Last updated
08/22/2020
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