OAK LAWN VA CBOC
NPI 1154368710
Clinic/Center - VA in Oak Lawn, IL

Q: What is Hines Vamc's NPI number?

The NPI number for Hines Vamc is 1154368710. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as Oak Lawn 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 June 01, 2006CLIA 14D1016782 · Accreditation

10201 S CICERO AVE, OAK LAWN, IL 60453(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: November 08, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022 (2 updates tracked since 2022).

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About Oak Lawn Va Cboc NPPES

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

OAK LAWN VA CBOC (NPI 1154368710) is a healthcare organization registered as a va in Oak Lawn, Illinois and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1154368710

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameHINES VAMC

Location Address10201 S CICERO AVEOak Lawn, IL 60453-4023

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 DateJune 1, 2006

Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1154368710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

10201 S CICERO AVE, Oak Lawn, IL 60453

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Other Names 1

Other NameOak Lawn Va Cboc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D1016782

Oak Lawn Cboc · Oak Lawn, IL

Active · expires May 22, 2032

CLIA Number14D1016782

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 26, 2006

Certificate Expiration DateMay 22, 2032

Laboratory DirectorSaeedeh Masoom

Laboratory Phone(708) 499-3675

Laboratory LocationOak Lawn Cboc10201 S Cicero Avenue, Oak Lawn, IL 60453

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 18

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

DANIELLE MARIE VICENTE HERRERA PT, DPT

Physical Therapist