# EDWARD HINES JUNIOR VETERANS HOSPITAL

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

## Provider details

- **NPI number:** 1518982396
- **Authorized official:** MRS. KATHLEEN REGINA FOLEY RN, APN (CLINICAL NURSE SPECIALIST)
- **Authorized official phone:** (708) 202-8387

## Contact information

- **Practice address:** FIFTH AVENUE AT ROOSEVELT ROAD, ROUTE 116A3, HINES, IL 60141
- **Practice address phone:** (708) 202-8387
- **Practice address fax:** (708) 202-2024
- **Mailing address:** FIFTH AVENUE AT ROOSEVELT ROAD, ROUTE 116A3, HINES, IL 60141
- **Mailing address phone:** (708) 202-8387
- **Mailing address fax:** (708) 202-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | IL | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/22/2020