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PERU VA CLINIC
NPI 1639125479
Clinic/Center - VA in Peru, IL

Active since May 25, 2006
4461 PROGRESS BLVD, PERU, IL 61354(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Feb 23, 2023, Oct 20, 2022 (3 updates tracked since 2022).

About Peru Va Clinic NPPES

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

PERU VA CLINIC (NPI 1639125479) is a healthcare organization registered as a va in Peru, Illinois and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1639125479
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameHINES VAMC
Location Address4461 PROGRESS BLVDPeru, IL 61354-1109
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 UpdateApril 5, 20243 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1639125479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4461 PROGRESS BLVD, Peru, IL 61354
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Other Names 1

Other NamePeru Va Clinic

Other Providers at the Same Location NPPES 2

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

LESLIE DUNTEMANN LSW
Social Worker
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678
LAURA SCHWINGLE MSW
Social Worker (Clinical)
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678

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 1639125479. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is also known as Peru VA Clinic.

Where is Hines Vamc located?

Hines Vamc is located at 4461 Progress Blvd, Peru, IL 61354. 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 April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.