Edward Hines VA

Primary specialty

Military HospitalTaxonomy code 286500000X

License

104100000X Issued in IL

Legal business name

EDWARD HINES VA

Practice address

5000 S 5TH Ave
Hines, IL 60141-3030

Phone

(708) 202-8387

NPI assigned

Aug 6, 2010

Organization subpart

No

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

Authorized official

Name

Tony Spillie, LCSW

Title

Social Work Executive

Phone

(708) 202-2055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1285949834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "SPILLIE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "SOCIAL WORK EXECUTIVE",
        "authorized_official_telephone_number": "708-202-2055",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IL",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Junior Veterans Hospital
• Edward Hines V.a. Hospital
• Edward Hines VA
• Edward J. Hines Hospital
• Edward J. Hines Jr. VA Hospital
• Donovan Edward
• David Alan Edwards, MA, CVRT

• Military Hospital in Hines, IL
• Providers in Hines, IL by specialty
• Military Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.