RUSH ADOLESCENT FAMILY CENTER (NPI# 1902922115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902922115 |
| Entity Type | Organization |
| Organization Name | RUSH ADOLESCENT FAMILY CENTER |
| Practice Address |
1645 W Jackson Blvd Ste 315 Chicago IL 60612-3227 |
| Practice Telephone | 3129422777 |
| Practice Fax Number | 3129422822 |
| Mailing Telephone | 3129422777 |
| Mailing Fax Number | 3129422822 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEPHEN GILLENWATER (PROGRAM MANAGER) |
| Authorized Official Telephone | 3129422859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
IL | Ambulatory Health Care Facilities |
| Street Address |
1645 W JACKSON BLVD STE 315 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1417298498 | Fresenius Medical Care Naperbrook, LLC | Clinic/Center | 2451 S Washington St, Naperville, IL 60565-5419 | 2013-03-15 |
| 1578752887 | Northern Illinois Women's Center | Clinic/Center | 1400 Broadway, Suite 201, Rockford, IL 61104-1400 | 2007-10-23 |
| 1558460584 | Planned Parenthood of East Central Illinois | Clinic/Center | 302 E Stoughton St, Champaign, IL 61820-5414 | 2006-09-22 |
| 1467837302 | Whole Womans Health of Peoria LLC | Clinic/Center | 7405 N University St, Suite D, Peoria, IL 61614-1212 | 2015-07-21 |
| 1285605675 | Midwest Family Medicine | Clinic/Center | 170 S Bloomingdale Rd, Suite 200, Bloomingdale, IL 60108-1470 | 2006-02-01 |
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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.