Jesse Brown VA

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

041244811 Issued in IL

Legal business name

JESSE BROWN VA

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 569-7718

NPI assigned

Sep 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shirley Ann Campbell, RN

Title

Ambulatory Care Nurse

Phone

(312) 569-7718

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1104922533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16908 INGLESIDE AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733063",
            "telephone_number": "708-567-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728",
            "telephone_number": "312-569-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE BROWN VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AMBULATORY CARE NURSE",
        "authorized_official_telephone_number": "312-569-7718",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "IL",
            "license": "041244811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Jeskey, LCSW
• Myra Mary Jeskey, L.C.S.W.
• Jess Brown Vamc
• Jess London Shields PLLC
• Anna E Jess, DPT
• Jesse Brown VA
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center

• Chronic Disease Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• Chronic Disease Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.