Organization
JESSE BROWN VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUBHADRA S VUNDAVILLI PT (PHYSICAL THERAPIST)
(312) 569-6397
Entity
Organization
Contact information
Practice address
820 S DAMEN, CHICAGO, IL 60612
(312) 569-6397
Mailing address
476 ALLES ST, DES PLAINES, IL 60016-7871
(708) 539-8119
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161639
NPI ENUMERATOR NUMBER
IL
Enumeration date
06/09/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us