Organization · NPI-2

Hines Va Hospital

Military Hospital, Military General Acute Care Hospital. Operational (Transportable) · Westchester, IL

NPI number1891881058

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1891881058
Entity type: Organization (NPI-2)
Legal business name: Hines Va Hospital
Organization subpart: No
Enumeration date: Oct 5, 2006
Last updated: Aug 22, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2865X1600X	Military Hospital, Military General Acute Care Hospital. Operational (Transportable)	036092079	IL	Yes

Practice location

10600 31st St
Westchester, IL 60154-5110

Phone 708-409-8450 · Fax 708-202-7936

Mailing address

10600 31st Street
Westchester, IL 60154-5110

Phone 708-409-8450 · Fax 708-202-7936

Authorized official

Youngsook Park
Staff Neurologist
7082022844

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