Organization
EDWARD J. HINES JR. VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOLITA DRUMMOND LSW, CADC (SOCIAL WORKER)
(707) 202-8387
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5650 N SHERIDAN RD, APT. 22C, CHICAGO, IL 60660-4879
(773) 878-8729
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
150004789
IL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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