Organization Active NPI

Dept of Veterans Affairs

  • Health Service Clinic/Center
  • Chicago, IL
National Provider Identifier
1982669735
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
209002776 Issued in IL
Legal business name
DEPT OF VETERANS AFFAIRS
Practice address
333 E Huron St
Room 117
Chicago, IL 60611-3004
Phone
(312) 924-2513
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Anne Christina Odonnell, NP
Title
NP
Phone
(312) 469-3962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 209002776 IL Primary

Addresses

Primary practice location

333 E Huron St
Room 117
Chicago, IL 60611-3004

Mailing address

333 E Huron St
Chicago, IL 60611-3004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1982669735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E HURON ST",
            "address_2": "ROOM 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113004",
            "telephone_number": "312-924-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "312-469-3962",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "209002776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.