JOLIET VA CBOC
NPI 1104872761
Clinic/Center - VA in Joliet, IL

Q: What is Hines Vamc's NPI number?

The NPI number for Hines Vamc is 1104872761. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is also known as Joliet VA Cboc.

Q: What is Hines Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Q: When was this NPI record last updated?

The NPPES record for Hines Vamc was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2006

1201 EAGLE STREET, JOLIET, IL 60432(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022, Apr 26, 2018 (3 updates tracked since 2018).

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About Joliet Va Cboc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOLIET VA CBOC (NPI 1104872761) is a healthcare organization registered as a va in Joliet, Illinois and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1104872761

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameHINES VAMC

Location Address1201 EAGLE STREETJoliet, IL 60432-2031

Mailing AddressPo Box 94482Cleveland, OH 44101-4482 · (608) 821-7200 · Fax (608) 821-7658

Phone(608) 821-7200

Fax(608) 821-7658

Organization SubpartNo

Authorized OfficialErin PotterNpi Team · (202) 382-2579

Enumeration DateMay 25, 2006

Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1104872761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

1201 EAGLE STREET, Joliet, IL 60432

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Other Names 1

Other NameJoliet Va Cboc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AGNIESZKA STANISLAWA BASTA APN

Nurse Practitioner (Family)

1201 EAGLE STREET
JOLIET, IL 60432

Will County (815) 740-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hines Vamc's NPI number?

The NPI number for Hines Vamc is 1104872761. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is also known as Joliet VA Cboc.

Where is Hines Vamc located?

Hines Vamc is located at 1201 Eagle Street, Joliet, IL 60432. The listed phone number is (608) 821-7200.

What is Hines Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Hines Vamc was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.