# EDWARD HINES JR. HOSPITAL

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

## Provider details

- **NPI number:** 1568638948
- **Authorized official:** MS. THRESIAMMA J. PARACKAL (REGISTERED NURSE)
- **Authorized official phone:** (708) 202-2020

## Contact information

- **Practice address:** 1085 IDAHO ST, CAROL STREAM, IL 60188-1348
- **Practice address phone:** (630) 871-9531
- **Mailing address:** 1085 IDAHO ST, CAROL STREAM, IL 60188-1348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 041281069 | IL | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008