NPIMap

Organization Active NPI

Jesse Brown VA Medical Center

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1255371928
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
JESSE BROWN VA MEDICAL CENTER
Practice address
PM&R (117)
820 South Damen Ave
Chicago, IL 60612
Phone
(312) 569-7834
Fax
(312) 569-8050
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Phyllis S Trammell, KINESIOTHERAPIST
Title
Supervisor, Kinesiotherapy Clinic
Phone
(312) 569-7834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

PM&R (117)
820 South Damen Ave
Chicago, IL 60612

Mailing address

PM&R (117)
820 South Damen Ave
Chicago, IL 60612
Phone (312) 569-7834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255371928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PM&R (117)",
            "address_2": "820 SOUTH DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-7834",
            "fax_number": "312-569-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PM&R (117)",
            "address_2": "820 SOUTH DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-7834",
            "fax_number": "312-569-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE BROWN VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SUPERVISOR, KINESIOTHERAPY CLINIC",
        "authorized_official_telephone_number": "312-569-7834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "KINESIOTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.