OrganizationActive
Jesse Brown Veterans Administration Hospital
NPI 1679561260 · Critical Access Hospital · Chicago, IL
Provider details
- NPI number
- 1679561260
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Farida Ahmed, Staff Radiologist(312) 569-6123
- License
- 036066117 (IL)
Specialties & taxonomies
Hospitals
Practice location
820 S Damen Ave
Chicago, IL 60612-3728
Phone: (312) 569-6123
Fax: (312) 569-8102
Approximate (ZIP-level) locationGet directions
Mailing address
950 N Clark St
Chicago, IL 60610-8701
Registry dates
- Enumerated
- 2005-10-09
- Last updated
- 2008-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.