Edward Hines Jr. VA Hospital

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

EDWARD HINES JR. VA HOSPITAL

Practice address

5000 S 5TH Ave
BLDG 228
Hines, IL 60141-3030

Phone

(708) 202-8387

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Peggy Jene Morris, CADC

Title

Addiction Therapist

Phone

(773) 988-2878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1760618680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S. 5TH AVENUE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "BLDG 228",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES JR. VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JENE",
        "authorized_official_title_or_position": "ADDICTION THERAPIST",
        "authorized_official_telephone_number": "773-988-2878",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dylewski, PHARMD
• Phillip Eckl
• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Jr. VA Hospital
• Edward Hines Junior Veterans Hospital
• Edward Hines V.a. Hospital
• Edward Hines VA
• Edward Hines VA
• Edward J. Hines Hospital

• Substance Use Disorder Rehabilitation Hospital Unit in Hines, IL
• Providers in Hines, IL by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.