Organization
EDWARD HINES VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY SPILLIE LCSW (SOCIAL WORK EXECUTIVE)
(708) 202-2055
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
104100000X
IL
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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