Va Chicago

LBN: Va Chicago
Va Chicago is an health care organization with primary practice located at 901 Maple Ave , Evanston IL 60202-1717. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Va Chicago can be contacted via phone (224) 471-1812, or through Smith, Kyran D via phone (224) 471-1812.

Contact Information

Primary practice address
901 Maple Ave Evanston IL 60202-1717
Phone: (224) 471-1812
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kyran D Doctor of Medicine (MD)
Phone: (224) 471-1812

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1730896747
LBN Legal business name Va Chicago
DBA Doing business as
Authorized official Smith, Kyran D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2022
Last updated Oct 31st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730896747 NPPES
Illinois MEDICAID 984575447

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