Organization
JESSE BROWN VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S. JOSEPH MAURICE MD (CONSULTANT)
(312) 569-7271
Entity
Organization
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7271
Mailing address
6544 N LONGMEADOW AVE, LINCOLNWOOD, IL 60712-3206
(847) 933-0093
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
036037238
IL
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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