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JESSE BROWN VETERANS ADMINISTRATION HOSPITAL
NPI 1679561260
General Acute Care Hospital - Critical Access in Chicago, IL

Active since October 09, 2005
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-6123(312) 569-8102 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jesse Brown Veterans Administration Hospital NPPES

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

JESSE BROWN VETERANS ADMINISTRATION HOSPITAL (NPI 1679561260) is a healthcare organization registered as a critical access in Chicago, Illinois and active in the NPI registry since October 2005. The organization lists Farida Ahmed, Staff Radiologist, as its authorized official.

NPPES Registry Identity

NPI1679561260
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameJESSE BROWN VETERANS ADMINISTRATION HOSPITAL
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address950 N Clark St, Unit K.,Chicago, IL 60610-8701 · (312) 280-1840 · Fax (312) 280-4546
Phone(312) 569-6123
Fax(312) 569-8102
Organization SubpartNo
Authorized OfficialFarida AhmedStaff Radiologist · (312) 569-6123
Enumeration DateOctober 9, 2005
Last NPPES UpdateJuly 21, 2008
✔ NPI 1679561260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in IL · 036066117
820 S DAMEN AVE, Chicago, IL 60612
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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 14D0988057

Jesse Brown Vamc · Chicago, IL
Expired · May 22, 2026
CLIA Number14D0988057
Laboratory TypeHospital
Certificate Effective DateJune 19, 2001
Certificate Expiration DateMay 22, 2026
Laboratory DirectorShoujin Wu
Laboratory Phone(312) 569-6125
Laboratory LocationJesse Brown Vamc820 South Damen, Chicago, IL 60612
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 20

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

MRS. MILA L ALBERT PHARM.D
Pharmacist
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7174
LEWIS RUSSELL COULSON M.D.
Internal Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6260
MRS. MARY JANE TOLES APN
Nurse Practitioner
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6354
MS. MARY ANNE DIGNAN CNS
Clinical Nurse Specialist (Critical Care Medicine)
820 S DAMEN AVE, ROOM 4230
CHICAGO, IL 60612
Cook County (312) 569-7895
MS. ELIZABETH ANN BOHLING NP-C
Nurse Practitioner (Adult Health)
820 S DAMEN AVE, MC 118
CHICAGO, IL 60612
Cook County (312) 569-6366
DEBRA MARIE PATER APN, BC
Registered Nurse (Psychiatric/Mental Health, Adult)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7217
MS. LYNNE O'DONNELL APN-BC
Nurse Practitioner
820 S DAMEN AVE, #118
CHICAGO, IL 60612
Cook County (312) 569-7842
MISS CLARA LA VERNE ARMSTRONG RN, NP
Nurse Practitioner (Adult Health)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387

Frequently Asked Questions

What is JESSE BROWN VETERANS ADMINISTRATION HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1679561260, enumerated as an "organization" on October 09, 2005.

Where is the provider located?

The provider is located at 820 S DAMEN AVE CHICAGO, IL 60612 and the phone number is (312) 569-6123.

What is the provider's specialty?

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.