Veterans Administration

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

54132 Issued in TX

Legal business name

VETERANS ADMINISTRATION

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 560-7907

NPI assigned

Sep 25, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Mitchell, LCSWNPI 1740392844

Title

Supervisory Social Work

Phone

(773) 569-6550

Specialties & licenses 1

Addresses

Other names 1

• Jesse Brown Veterans Medical Center Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Rice Mitchell, MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1740392844
  Authorized official Same address or phone

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1285985770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 W 59TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102139",
            "telephone_number": "773-671-5111"
        },
        {
            "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": "312-560-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SUPERVISORY SOCIAL WORK",
        "authorized_official_telephone_number": "773-569-6550",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "54132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jesse Brown Veterans Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vesna Pirec, LTD
• Alyssa Jeanne Vest Hart, DO
• Luke Skyler Vest, MD
• David Mark Vester, M.D.
• Veteran Youth Corp (Counseling First)
• Veterans Square Diagnostics, Inc.
• Camryn Spencer Veteto
• Marie Rose Vetter, AU.D.
• Olivia Vetter
• Sarah Vetter, M.S. CCC-SLP

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.