Organization
DEPT. OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMMAL VARGHESE NP (SCI CO-ORDINATOR)
(708) 202-8387
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2017
Mailing address
10910 BEAR ISLAND AVE, ORLAND PARK, IL 60467-5398
(708) 403-2159
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
209.011416
IL
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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