VA Hospital

Primary specialty

Military HospitalTaxonomy code 286500000X

License

032417 Issued in IL

Legal business name

VA HOSPITAL

Practice address

3001 Green Bay Rd
North Chicago, IL 60064-3048

Phone

(847) 688-1900

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John M Sieja, CNMT

Title

Nuclear Medicine Technologist

Phone

(312) 206-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1629220546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W RAVINE AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801455",
            "telephone_number": "312-206-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "847-688-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SIEJA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NUCLEAR MEDICINE TECHNOLOGIST",
        "authorized_official_telephone_number": "312-206-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNMT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IL",
            "license": "032417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darius Tumminello, PHARMD
• Arifa Uddin, M.D
• Valentine Umans, RN
• Michelle Underhill, MA, CRC, LCPC, CADC
• United States Navy
• VA Medical Center
• Simmy Vadakkumchery, LPN
• Rachel Valentino, RN
• Arthur Valeri, D.M.D.
• Tyler Glenn Van Note

• Military Hospital in North Chicago, IL
• Providers in North 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 Oct 22, 2008; 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.