Jesse Brown VA Medical Center

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

Legal business name

JESSE BROWN VA MEDICAL CENTER

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 569-8387

NPI assigned

Apr 2, 2006

Organization subpart

No

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

Authorized official

Name

Miss Rhetta Turner

Title

Administrative Officer, Anesthesiol

Phone

(312) 569-8387

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Ann Fowler, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
  • NPI 1841463858
  NPD (past)

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497716922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BEVERLY DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466408",
            "telephone_number": "847-265-1654"
        },
        {
            "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": "312-569-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE BROWN VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RHETTA",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER, ANESTHESIOL",
        "authorized_official_telephone_number": "312-569-8387",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Brown VA
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown VA Medical Center
• Jesse Brown Veterans Administration

• Military Hospital in Chicago, IL
• Providers in Chicago, 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 22, 2020; 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.