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RUSH ADOLESCENT FAMILY CENTER NPI 1902922115


NPI Information

NPI: 1902922115
Provider Name: RUSH ADOLESCENT FAMILY CENTER
Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

Address:
1645 W JACKSON BLVD STE 315
CHICAGO, IL
ZIP 60612
Phone: (312) 942-2777
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RUSH ADOLESCENT FAMILY CENTER is an ambulatory family planning facility clinic center in Chicago, IL. The provider is 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. RUSH ADOLESCENT FAMILY CENTER NPI is 1902922115. The provider is registered as an organization entity type.

The provider's business location address is:

1645 W JACKSON BLVD STE 315
CHICAGO, IL
ZIP 60612-227
Phone: (312) 942-2777
Fax: (312) 942-2822

The provider's authorized official is Stephen Gillenwater .
The authorized official title is Program Manager and has the following contact phone number (312) 942-2859.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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