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Organization

NORTH CHICAGO VA

Active
Parent organization
VETERANS ADMINISTRATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
VETERANS ADMINISTRATION
Authorized official
PATRICK SULLIVAN MD (DIRECTOR)
(224) 610-4176
Entity
Organization

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4070
(224) 610-3706
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4070
(224) 610-3706

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
OC003528L
PA
286500000X
Military Hospital
Primary
056.005664
IL

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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