Organization
JESSE BROWN VA MEDICAL CENTER
Active
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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