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Organization

JESSE BROWN VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PHYLLIS S TRAMMELL KINESIOTHERAPIST (SUPERVISOR, KINESIOTHERAPY CLINIC)
(312) 569-7834
Entity
Organization

Contact information

Practice address
PM&R (117), 820 SOUTH DAMEN AVE, CHICAGO, IL 60612
(312) 569-7834
(312) 569-8050
Mailing address
PM&R (117), 820 SOUTH DAMEN AVE, CHICAGO, IL 60612
(312) 569-7834
(312) 569-8050

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
06/08/2006
Last updated
07/21/2022
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