Organization
JESSE BROWN VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUZ HEIN LCSW (CHIEF OF SOCIAL WORK)
(312) 569-7548
Entity
Organization
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
149011182
IL
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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