Jess Brown Vamc

LBN: Jess Brown Vamc
Jess Brown Vamc is an health care organization with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. The organization recently has only one registered license in Hospitals / Military General Acute Care Hospital, which is considered as the primary health care specialty. Jess Brown Vamc can be contacted via phone (312) 569-6127, or through Huang, Peng Liang via phone (312) 569-6127.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (312) 569-6127
Fax: (312) 569-6148
Website:
Map and Directions
Authorized official contact:
Name: Huang, Peng Liang Doctor of Medicine (MD)
Phone: (312) 569-6127

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Military General Acute Care Hospital 2865M2000X Illinois

Profile Details

NPI number 1508971748
LBN Legal business name Jess Brown Vamc
DBA Doing business as
Authorized official Huang, Peng Liang Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508971748 NPPES
Illinois MEDICAID 36051659

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