Hines Vamc

NPI #1639125479 in Peru, Illinois

Provider Information

NPI Number: 1639125479
Entity Type: Organization
Organization Name: Hines Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 25, 2006
Last Updated: Apr 5, 2024

Practice Location

Address: 4461 PROGRESS BLVD
City: Peru
State: Illinois
ZIP Code: 61354-1109
Phone: (608) 821-7200

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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