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BOURBONNAIS VA CBOC
NPI 1780631317
Clinic/Center - VA in Bourbonnais, IL

Active since May 28, 2006
581 WILLIAM LATHAM DR, BOURBONNAIS, IL 60914(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 02, 2026.

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

About Bourbonnais Va Cboc NPPES

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

BOURBONNAIS VA CBOC (NPI 1780631317) is a healthcare organization registered as a va in Bourbonnais, Illinois and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1780631317
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameHINES VAMC
Location Address581 WILLIAM LATHAM DRBourbonnais, IL 60914-2317
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 28, 2006
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1780631317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
581 WILLIAM LATHAM DR, Bourbonnais, IL 60914
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Other Names 1

Other NameBourbonnais Va Cboc

Other Providers at the Same Location NPPES 3

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

KELLY RICHTER
Social Worker
581 WILLIAM LATHAM DR
BOURBONNAIS, IL 60914
Kankakee County (815) 932-3823
CYNTHIA L GOLDRICK P.A.-C
Physician Assistant
581 WILLIAM LATHAM DR, SUITE 103
BOURBONNAIS, IL 60914
Kankakee County (815) 929-9700
SLEEP MEDICINE SPECIALISTS LLC
Clinic/Center (Sleep Disorder Diagnostic)
581 WILLIAM LATHAM DR, SUITE 302
BOURBONNAIS, IL 60914
Kankakee County (630) 750-8934

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 1780631317. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is also known as Bourbonnais VA Cboc.

Where is Hines Vamc located?

Hines Vamc is located at 581 William Latham Dr, Bourbonnais, IL 60914. 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.