OrganizationActive
Hines Vamc
NPI 1639125479 · VA Clinic/Center · Peru, IL
Provider details
- NPI number
- 1639125479
- Entity type
- Organization
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erin Potter, Npi Team(202) 382-2579
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4461 Progress Blvd
Peru, IL 61354-1109
Phone: (608) 821-7200
Fax: (608) 821-7658
Street-level locationGet directions
Mailing address
Po Box 94482
Cleveland, OH 44101-4482
Other names (DBA / former)
- Other name
- Peru Va Clinic
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.