HINES VA HOSPITAL (NPI# 1659401909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659401909 |
| Entity Type | Organization |
| Organization Name | HINES VA HOSPITAL |
| Practice Address |
5923 Ridge Ave Berkeley IL 60163-1545 |
| Practice Telephone | 7082028387 |
| Mailing Telephone | 7082028387 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JACALYN R LYLES-CARROLL (CRT) |
| Authorized Official Telephone | 7082028387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558525246 | Hines Va Hospital | Clinic/Center | 14643 Keystone Ave, Midlothian, IL 60445-2746 | 2008-07-11 |
| 1336301134 | Hines Va Hospital | General Acute Care Hospital | 1643 E Lincoln Ave, Des Plaines, IL 60018-1730 | 2008-07-02 |
| 1679618482 | Hines Va Hospital | Military Hospital | 13037 S Houston Ave, Chicago, IL 60633-1704 | 2007-02-20 |
| 1366584815 | Hines Va Hospital | Military Hospital | 823 S Cuyler Ave, Oak Park, IL 60304-1507 | 2007-02-13 |
| 1891881058 | Hines Va Hospital | Military Hospital | 10600 31st St, Westchester, IL 60154-5110 | 2006-10-05 |
| 1376641191 | Hines Va Hospital | General Acute Care Hospital | 13824 S Petersburg Dr, Plainfield, IL 60544-7076 | 2006-09-20 |
| 1689717126 | Hines Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2007-02-15 |
| 1609972090 | Hines Va Hospital | General Acute Care Hospital | 5th Ave and Roosevelt, Va Hospital, Hines, IL 60141 | 2006-09-15 |
| Street Address |
5923 RIDGE AVE |
| City | BERKELEY |
| State | IL |
| Zip Code | 60163-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| 1194720292 | New Home Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 5813 Saint Charles Rd, Berkeley, IL 60163-1031 | 2005-06-15 |
| 1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
| 1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
| 1649294927 | Gary Robert Johnson | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
| 1386095933 | Michael A. Esposito Dds, P.C. | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2016-06-24 |
| 1144663139 | Clinical Research Institute, Inc. | Voluntary or Charitable | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2013-04-10 |
| 1063573277 | Michael Anthony Esposito | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-12-12 |
| 1366466930 | Gary R. Johnson, D.d.s., P.C. | Clinic/Center | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
| 1861517617 | Berkeley School Dist 87 | Local Education Agency (LEA) | 5400 Saint Charles Rd, Berkeley, IL 60163-1244 | 2007-03-20 |
| Find all providers in zip 60163 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212356 | Edward Hines Jr. Va Hospital | Military Hospital | 5800 W 105th St, Unit 2a, Oak Lawn, IL 60453-4385 | 2011-01-18 |
| 1114238649 | Edward Hines Jr Va | Military Hospital | 1110 W Wood Ave, Addison, IL 60101-5720 | 2010-06-30 |
| 1770819211 | Edward Hines Veteran's Hospital | Military Hospital | 5344 Carpenter St, Downers Grove, IL 60515-4807 | 2009-10-18 |
| 1316181183 | Resurrection Westlake Hospital | Military Hospital | 7311 W Montrose Ave, Norridge, IL 60706-1157 | 2009-04-23 |
| 1679618482 | Hines Va Hospital | Military Hospital | 13037 S Houston Ave, Chicago, IL 60633-1704 | 2007-02-20 |
| 1366584815 | Hines Va Hospital | Military Hospital | 823 S Cuyler Ave, Oak Park, IL 60304-1507 | 2007-02-13 |
| 1891836037 | Hines Va | Military Hospital | 115 Fleetwood Dr, Glendale Heights, IL 60139-1931 | 2007-02-09 |
| 1245370907 | Edward Hines Va Hospital | Military Hospital | 1417 Carol St, Park Ridge, IL 60068-1205 | 2007-02-08 |
| 1285017848 | Federal Health Care Center | Military Hospital | 3001 Green Bay Rd, North Chicago, IL 60064 | 2015-07-01 |
| 1417202839 | Captain James A. Lovell Federal Health Care Center | Military Hospital | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2012-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.