| Organization Name: | EDWARD HINES JR. VA HOSPITAL |
| NPI Number: | 1013212356 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENE LEUNG (PHARMACY MANAGER) |
| Mailing Address: | 5800 W 105th St Unit 2a Oak Lawn |
| State: | IL US |
| Postal Code: | 604534385 |
| Phone Number: | 7733398253 |
| Fax Number: | 7082217171 |
| NPI Enumeration Date: | 01/18/2011 |
| NPI Last Update Date: | 01/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 049131898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |