Jesse Brown Va

NPI #1104922533 in Chicago, Illinois

Provider Information

NPI Number
1104922533
Entity Type
Organization
Organization Name
Jesse Brown Va
Primary Specialty
Chronic Disease Hospital
Enumeration Date
Sep 15, 2006
Last Updated
Jun 19, 2008

Practice Location

Address
820 S DAMEN AVE
ZIP Code
60612-3728
Phone
(312) 569-7718

Authorized Official

Name
MS. SHIRLEY ANN CAMPBELL, RN
Title
AMBULATORY CARE NURSE
Phone
(312) 569-7718

Specialties & Taxonomy Codes

Specialty
Chronic Disease Hospital

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