Organization
JESSE BROWN VETERANS ADMINISTRATION HOSPITAL
Active
Organization
JESSE BROWN VETERANS ADMINISTRATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIDA AHMED M.D. (STAFF RADIOLOGIST)
(312) 569-6123
Entity
Organization
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6123
(312) 569-8102
Mailing address
950 N CLARK ST, UNIT K.,, CHICAGO, IL 60610-8701
(312) 280-1840
(312) 280-4546
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
036066117
IL
Other
Enumeration date
10/09/2005
Last updated
07/21/2008
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