OrganizationActive
Jesse Brown Va
NPI 1104922533 · Chronic Disease Hospital · Chicago, IL
Jesse Brown Va is a Chronic Disease Hospital organization in Chicago, IL (NPI 1104922533).
Provider details
- NPI number
- 1104922533
- Entity type
- Organization
- Primary specialty
- Chronic Disease HospitalHospitals
- Organization subpart
- No
- Authorized official
- Shirley Campbell, Ambulatory Care Nurse(312) 569-7718
- License
- 041244811 (IL)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 S Damen Ave
Chicago, IL 60612-3728
Phone: (312) 569-7718
Street-level locationGet directions
Mailing address
16908 Ingleside Ave
South Holland, IL 60473-3063
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2008-06-19
Frequently asked questions
- What is Jesse Brown Va's NPI number?
- Jesse Brown Va's National Provider Identifier (NPI) is 1104922533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jesse Brown Va?
- Jesse Brown Va is classified in the NPPES registry as Chronic Disease Hospital (Hospitals).
- Where is Jesse Brown Va located?
- Jesse Brown Va's practice location on file with NPPES is 820 S Damen Ave, Chicago, IL 60612-3728.
- What is Jesse Brown Va's phone number?
- The practice phone number listed in the NPPES registry for Jesse Brown Va is (312) 569-7718.
- Who is the authorized official for Jesse Brown Va?
- The authorized official listed on Jesse Brown Va's NPPES record is Shirley Campbell, Ambulatory Care Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jesse Brown Va's NPI active?
- Yes — Jesse Brown Va's NPI (1104922533) is active in the NPPES registry as of the last update on 2008-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.