Jesse Brown Veterans Administration

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

JESSE BROWN VETERANS ADMINISTRATION

Practice address

1400 S Michigan Ave
Tower II, Unit 1907
Chicago, IL 60605-3714

Phone

(773) 988-5833

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Juliana Llazar Basko, MD

Title

Medical Resident

Phone

(773) 988-5833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669603528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MICHIGAN AVENUE",
            "address_2": "TOWER II, UNIT 1907",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MICHIGAN AVE",
            "address_2": "TOWER II, UNIT 1907",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053714",
            "telephone_number": "773-988-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE BROWN VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BASKO",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "LLAZAR",
        "authorized_official_title_or_position": "MEDICAL RESIDENT",
        "authorized_official_telephone_number": "773-988-5833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 Hospital
• Jesse S Chandler MD SC
• Ellen Jesse, M.S., CCC-SLP
• John Nicholas Jesse III, M.D.
• Kevin M. Jesse, LCSW

• 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 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.