Edward Hines VA Hospital

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

EDWARD HINES VA HOSPITAL

Practice address

5000 S 5TH Ave
Hines, IL 60141-3030

Phone

(708) 202-2723

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By 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

Mario Rabanal Malapote, RN

Title

Staff Nurse

Phone

(708) 202-2723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1720992753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "MALAPOTE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "RABANAL",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "708-202-2723",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Hines Junior Veterans Hospital
• Edward Hines V.a. Hospital
• Edward Hines VA
• Edward Hines VA
• Edward Hines VA Hospital
• Edward J. Hines Hospital
• Edward J. Hines Jr. VA Hospital
• Donovan Edward
• David Alan Edwards, MA, CVRT
• Jamesetta Edwards, BFA

• Registered Nurse in Hines, IL
• Providers in Hines, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.