# JESS BROWN VAMC

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

## Provider details

- **NPI number:** 1508971748
- **Authorized official:** DR. PENG LIANG HUANG M.D. (ATTENDING PHYSICIAN)
- **Authorized official phone:** (312) 569-6127

## Contact information

- **Practice address:** 820 S DAMEN AVE, CHICAGO, IL 60612-3728
- **Practice address phone:** (312) 569-6127
- **Practice address fax:** (312) 569-6148
- **Mailing address:** 54 OAK CREEK COURT, BURR RIDGE, IL 60527
- **Mailing address phone:** (630) 323-0357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | — | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 07/21/2022
