Jess Brown Vamc

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

Legal business name

JESS BROWN VAMC

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 569-6127

Fax

(312) 569-6148

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peng Liang Huang, M.D.

Title

Attending Physician

Phone

(312) 569-6127

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508971748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OAK CREEK COURT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-323-0357"
        },
        {
            "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": "312-569-6127",
            "fax_number": "312-569-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESS BROWN VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "PENG",
        "authorized_official_middle_name": "LIANG",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "312-569-6127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36051659",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larisa Daina Jesinskis, M.D.
• Jillian Catherine Jesionowski
• John Jeske, PA
• Caren Jeskey, LCSW
• Myra Mary Jeskey, L.C.S.W.
• Jess London Shields PLLC
• Anna E Jess, DPT
• Jesse Brown VA
• Jesse Brown VA
• Jesse Brown VA Medical Center

• 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 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.