Organization
EDWARD HINES JR. VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE LEUNG (PHARMACY MANAGER)
(708) 202-7845
Entity
Organization
Contact information
Practice address
5800 W 105TH ST, UNIT 2A, OAK LAWN, IL 60453-4385
(773) 339-8253
(708) 221-7171
Mailing address
5800 W. 105TH STREET, UNIT 2A, OAK LAWN, IL 60453
(773) 339-8253
(708) 221-7171
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
049131898
IL
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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