Organization
EDWARD HINES JR. VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY JENE MORRIS CADC (ADDICTION THERAPIST)
(773) 988-2878
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, BLDG 228, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S. 5TH AVENUE, HINES, IL 60141
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
IL
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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