Organization
VETERANS ADMINISTRATION
Active
Other names
Jesse Brown Veterans Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MITCHELL LCSW (SUPERVISORY SOCIAL WORK)
(773) 569-6550
Entity
Organization
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 560-7907
Mailing address
2657 W 59TH PL, MERRILLVILLE, IN 46410-2139
(773) 671-5111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
54132
TX
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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