ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH NPI 1205250511

NPI Information

  • NPI: 1205250511
  • Provider Name: ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1645 W JACKSON BLVD
    SUITE 602
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 942-8387

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NPI Details

ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH is a psychiatry psychiatry neurology in Chicago, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH NPI is 1205250511. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1645 W JACKSON BLVD
SUITE 602
CHICAGO, IL
ZIP 60612-276
Phone: (312) 942-8387
Fax: (312) 942-8374

The provider's authorized official is Brian T Smith .
The authorized official title is Vice President and has the following contact phone number (312) 942-6909.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/6/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 3/30/2025

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