Jesse Brown Va Medical Center

LBN: Jesse Brown Va Medical Center
Jesse Brown Va Medical Center is an health care organization with primary practice located at 820 S Damen , Chicago IL 60612. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Jesse Brown Va Medical Center can be contacted via phone (312) 569-6397, or through Vundavilli, Subhadra S via phone (312) 569-6397.

Contact Information

Primary practice address
820 S Damen Chicago IL 60612
Phone: (312) 569-6397
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vundavilli, Subhadra S Physical Therapist (PT)
Phone: (312) 569-6397

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X Illinois

Profile Details

NPI number 1083655336
LBN Legal business name Jesse Brown Va Medical Center
DBA Doing business as
Authorized official Vundavilli, Subhadra S Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1083655336 NPPES
Illinois Other 161639 NPI ENUMERATOR NUMBER

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