# HINES VA HOSPITAL

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

## Provider details

- **NPI number:** 1609972090
- **Authorized official:** DR. SUDHA R GUPTA MD (STAFF PHYSICIAN)
- **Authorized official phone:** (708) 202-2844

## Contact information

- **Practice address:** 5TH AVE AND ROOSEVELT, VA HOSPITAL, HINES, IL 60141
- **Practice address phone:** (708) 202-2844
- **Practice address fax:** (708) 202-7936
- **Mailing address:** ROOSEVELT AND 5TH AVENUE, VA HOSPITAL, HINES, IL 60141
- **Mailing address phone:** (708) 202-2844
- **Mailing address fax:** (708) 202-7936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | IL | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020