Organization Active NPI

Hines VA Hospital

  • Operational (Transportable) Military General Acute Care Hospital
  • Westchester, IL
National Provider Identifier
1891881058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Operational (Transportable) Military General Acute Care HospitalTaxonomy code 2865X1600X
Legal business name
HINES VA HOSPITAL
Practice address
10600 31St St
Westchester, IL 60154-5110
Phone
(708) 409-8450
Fax
(708) 202-7936
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Youngsook Park, M.D.NPI 1831285691
Title
Staff Neurologist
Phone
(708) 202-2844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Operational (Transportable) Military General Acute Care Hospital 2865X1600X IL Primary

Addresses

Primary practice location

10600 31St St
Westchester, IL 60154-5110

Mailing address

10600 31St Street
Westchester, IL 60154-5110
Phone (708) 409-8450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891881058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 31ST STREET",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545110",
            "telephone_number": "708-409-8450",
            "fax_number": "708-202-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 31ST ST",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545110",
            "telephone_number": "708-409-8450",
            "fax_number": "708-202-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUNGSOOK",
        "authorized_official_title_or_position": "STAFF NEUROLOGIST",
        "authorized_official_telephone_number": "708-202-2844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • 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.