Edward Hines VA Hospital

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

EDWARD HINES VA HOSPITAL

Practice address

2217 Shannon CT
Darien, IL 60561-8457

Phone

(630) 985-3548

Fax

(630) 985-3806

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Shaju P Mathew, RRTNPI 1710057716

Title

Respiratory Therapist

Phone

(708) 202-2001

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaju Mathew

  • Certified Respiratory Therapist
  • Darien, IL
  • NPI 1710057716
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740320407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SHANNON CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618457",
            "telephone_number": "630-985-3548",
            "fax_number": "630-985-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SHANNON CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618457",
            "telephone_number": "630-985-3548",
            "fax_number": "630-985-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHAJU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "708-202-2001",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "UPINVAD000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dupage Pediatrics
• Sarah Durrani
• Samantha Earls, RBT
• Savannah Cheyenne Ebner
• Echo Imaging, Inc.
• Edwards Health Center LTD
• Glenda G Edwards, DC
• Gabrielle Egeberg
• Sofiane El Djouzi, MD, MS, MBA, FACS
• Elite Smiles LLC

• Military Hospital in Darien, IL
• Providers in Darien, IL by specialty
• Military Hospital 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.