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Organization

VA HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M SIEJA CNMT (NUCLEAR MEDICINE TECHNOLOGIST)
(312) 206-6000
Entity
Organization

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
205 W RAVINE AVE, WILLOW SPRINGS, IL 60480-1455
(312) 206-6000

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
032417
IL

Other

Enumeration date
10/22/2008
Last updated
10/22/2008
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