Jessie Brown Memoria VA Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

JESSIE BROWN MEMORIA VA HOSPITAL

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 569-8387

NPI assigned

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Corinne A Donley, MSW, LCSW

Title

Social Worker

Phone

(312) 569-8387

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851546147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728",
            "telephone_number": "312-569-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE BROWN MEMORIA VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DONLEY",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "312-569-8387",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mehta, D.D.S. P.C.
• Jessica Roeder LCSW PLLC
• Jessica Twitchell Psychotherapist
• Jessica Vargas DDS PLLC
• Jessica Weisbach, LLC
• Jessie L Mabaquiao MD
• Patricia D. Jessie, L.C.P.C.
• Maureen Jesuthasan, LPC
• Pim Jetanalin, M.D.
• Shannon Jeter

• 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.