# JESSIE BROWN MEMORIA VA HOSPITAL

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

## Provider details

- **NPI number:** 1851546147
- **Authorized official:** CORINNE A DONLEY MSW, LCSW (SOCIAL WORKER)
- **Authorized official phone:** (312) 569-8387

## 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

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 07/21/2022