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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
Entity Type: Organization

Specialization: Psychiatry

Address:
1645 W JACKSON BLVD
SUITE 602
CHICAGO, IL
ZIP 60612
Phone: (312) 942-8387
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

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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