Chicago Vamc
Clinic/Center, VA in Chicago, IL. Organization (NPI-2).
NPI number1831978014
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1831978014
- Entity type
- Organization (NPI-2)
- Legal business name
- Chicago Vamc
- Organization subpart
- No
- Enumeration date
- Sep 26, 2023
- Certification date
- Sep 26, 2023
- Last updated
- Sep 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Chicago Va Mobile Clinic (Other Name)
Practice location
820 S Damen AveChicago, IL 60612-3728
Phone 608-821-7200 · Fax 608-821-7658
Mailing address
Po Box 94474Cleveland, OH 44101-4474
Phone 608-821-7200 · Fax 608-821-7658
Authorized official
Erin Denise Potter
Npi Team
2023822579
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