# EDWARD HINES VA HOSPITAL

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

## Provider details

- **NPI number:** 1740320407
- **Authorized official:** SHAJU P MATHEW RRT (RESPIRATORY THERAPIST)
- **Authorized official phone:** (708) 202-2001

## Contact information

- **Practice address:** 2217 SHANNON CT, DARIEN, IL 60561-8457
- **Practice address phone:** (630) 985-3548
- **Practice address fax:** (630) 985-3806
- **Mailing address:** 2217 SHANNON CT, DARIEN, IL 60561-8457
- **Mailing address phone:** (630) 985-3548
- **Mailing address fax:** (630) 985-3806

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 08/22/2020