COLLEGE OF NURSING FACULTY PRACTICE (NPI# 1902239809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902239809 |
| Entity Type | Organization |
| Organization Name | COLLEGE OF NURSING FACULTY PRACTICE |
| Other Organization Name | ORR ADOLESCENT HEALTH CENTER |
| Practice Address |
730 N Pulaski Rd Chicago IL 60624-1063 |
| Mailing Address |
600 S Paulina St Suite 1080 Chicago IL 60612-3806 |
| Practice Telephone | 7735348924 |
| Practice Fax Number | 7735348927 |
| Mailing Telephone | 3129427117 |
| Mailing Fax Number | 3129423043 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| Authorized Official Name | DEIDRE WESLEY (OFFICE DEAN/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3129420782 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ORR Adolescent Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588010276 | College of Nursing Faculty Practice | Clinic/Center | 1645 W Jackson Blvd, Suite 315, Chicago, IL 60612-3276 | 2016-05-11 |
| 1720411135 | College of Nursing Faculty Practice | Clinic/Center | 1321 S Paulina St, Rm 109, Chicago, IL 60608-1221 | 2013-08-21 |
| 1093148496 | College of Nursing Faculty Practice | Clinic/Center | 2245 W Jackson Blvd, Chicago, IL 60612-2910 | 2013-08-21 |
| 1407299001 | College of Nursing Faculty Practice | Clinic/Center | 600 S Paulina St, Suite 1080, Chicago, IL 60612-3806 | 2013-04-12 |
| Street Address |
730 N PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630861 | Rush University Medical Center | Clinic/Center | 730 N Pulaski Rd, Room 109 Orr School Base Health Center, Chicago, IL 60624-1063 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.