Organization
HINES VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT WAMACK (RRT)
(708) 202-8387
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
194.001696
IL
Other
Enumeration date
02/15/2007
Last updated
06/16/2008
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