Edward Hines Junior Veterans Hospital

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

EDWARD HINES JUNIOR VETERANS HOSPITAL

Practice address

Fifth Avenue at Roosevelt Road
Route 116A3
Hines, IL 60141

Phone

(708) 202-8387

Fax

(708) 202-2024

NPI assigned

Jul 13, 2006

Last updated

Aug 22, 2020By 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

Mrs. Kathleen Regina Foley, RN, APN

Title

Clinical Nurse Specialist

Phone

(708) 202-8387

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518982396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FIFTH AVENUE AT ROOSEVELT ROAD",
            "address_2": "ROUTE 116A3",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-8387",
            "fax_number": "708-202-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIFTH AVENUE AT ROOSEVELT ROAD",
            "address_2": "ROUTE 116A3",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-8387",
            "fax_number": "708-202-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES JUNIOR VETERANS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "708-202-8387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, APN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines V.a. Hospital
• Edward Hines VA
• Edward Hines VA
• Edward Hines VA Hospital
• Edward Hines VA Hospital

• Adult Psychiatric/Mental Health Registered Nurse in Hines, IL
• Providers in Hines, IL by specialty
• Adult Psychiatric/Mental Health Registered Nurse 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.