# JESSE BROWN VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1851650360
- **Authorized official:** MARGARET MYSLINSKY (CLINICAL NUTRITION MANAGER)
- **Authorized official phone:** (312) 569-6911

## Contact information

- **Practice address:** 820 S DAMEN AVE, CHICAGO, IL 60612-3728
- **Practice address phone:** (312) 569-6911
- **Mailing address:** 820 S DAMEN AVE, CHICAGO, IL 60612-3728

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2012
- **Last updated:** 05/04/2012