Organization
HINES VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOBIE M OGHANI (RRT)
(708) 202-8387
Entity
Organization
Contact information
Practice address
13037 S HOUSTON AVE, CHICAGO, IL 60633-1704
(708) 202-8387
Mailing address
PO BOX 617, HINES, IL 60141-0617
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
IL
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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