Organization
JESSE BROWN VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA LLAZAR BASKO MD (MEDICAL RESIDENT)
(773) 988-5833
Entity
Organization
Contact information
Practice address
1400 S MICHIGAN AVE, TOWER II, UNIT 1907, CHICAGO, IL 60605-3714
(773) 988-5833
Mailing address
1400 S MICHIGAN AVENUE, TOWER II, UNIT 1907, CHICAGO, IL 60605
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
07/27/2009
Last updated
07/21/2022
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