# JESSE BROWN VA

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

## Provider details

- **NPI number:** 1568626562
- **Authorized official:** MS. LUZ HEIN LCSW (CHIEF OF SOCIAL WORK)
- **Authorized official phone:** (312) 569-7548

## Contact information

- **Practice address:** 820 S DAMEN AVE, CHICAGO, IL 60612-3728
- **Practice address phone:** (312) 569-8387
- **Mailing address:** 820 S DAMEN AVE, CHICAGO, IL 60612-3728
- **Mailing address phone:** (312) 569-8387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 149011182 | IL | Yes |

## Other

- **Enumeration date:** 07/18/2008
- **Last updated:** 07/18/2008