HINES VA HOSPITAL (NPI# 1689717126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689717126 |
| Entity Type | Organization |
| Organization Name | HINES VA HOSPITAL |
| Practice Address |
5000 S 5th Ave Hines IL 60141-3030 |
| Practice Telephone | 7082028387 |
| Mailing Telephone | 7082028387 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | GRANT WAMACK (RRT) |
| Authorized Official Telephone | 7082028387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 194.001696 | 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 |
| 1659401909 | Hines Va Hospital | Military Hospital | 5923 Ridge Ave, Berkeley, IL 60163-1545 | 2007-03-06 |
| 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 |
| 1609972090 | Hines Va Hospital | General Acute Care Hospital | 5th Ave and Roosevelt, Va Hospital, Hines, IL 60141 | 2006-09-15 |
| Street Address |
5000 S 5TH AVE |
| City | HINES |
| State | IL |
| Zip Code | 60141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865452 | Patricia M Knisley | Dietitian, Registered | 5000 S 5th Ave, Food and Nutrition Services (120d), Hines, IL 60141-3030 | 2005-07-21 |
| 1821699273 | Matthew Nakeem Williams | Registered Nurse | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-11-03 |
| 1225638877 | Christine Marie Desparrois | Technician/Technologist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-31 |
| 1558961565 | Maggie Elizabeth Murphy | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-28 |
| 1689273781 | Carrie Gatz | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-20 |
| 1124626304 | Anne Kathryn Thorndyke | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-11 |
| 1033726781 | Josmi Joseph | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-28 |
| 1558975003 | Phillip M Christenson | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
| 1730793266 | Tanya Elaine Pringle | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
| 1912518796 | Dana Viola Shepherd | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427329226 | Edward Hines Jr. Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2012-01-25 |
| 1285949834 | Edward Hines Va | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2010-08-06 |
| 1215173810 | Edward J. Hines Jr. Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2009-01-02 |
| 1952416117 | Hameeda S Shaikh | Military Hospital | 5000 S 5th Ave, Hines Va Hospital, Room E418, Hines, IL 60141-3030 | 2006-08-20 |
| 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 |
| 1659401909 | Hines Va Hospital | Military Hospital | 5923 Ridge Ave, Berkeley, IL 60163-1545 | 2007-03-06 |
| 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 |
| 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.