Edward Hines Va

NPI #1285949834 in Hines, Illinois

Provider Information

NPI Number: 1285949834
Entity Type: Organization
Organization Name: Edward Hines Va
Primary Specialty: Military Hospital
Enumeration Date: Aug 6, 2010
Last Updated: Aug 6, 2010

Practice Location

Address: 5000 S 5TH AVE
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (708) 202-8387

Authorized Official

Name: TONY SPILLIE, LCSW
Title: SOCIAL WORK EXECUTIVE
Phone: (708) 202-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Hospital	286500000X	Primary

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