Edward Hines Jr VA

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

EDWARD HINES JR VA

Practice address

1110 W Wood Ave
Addison, IL 60101-5720

Phone

(630) 329-7966

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Lindsey Neuman, MSW

Title

Social Worker

Phone

(630) 329-7966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1114238649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W WOOD AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W WOOD AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015720",
            "telephone_number": "630-329-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES JR VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "630-329-7966",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.