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RUSH UNIVERSITY MEDICAL CENTER NPI 1396906103


NPI Information

NPI: 1396906103
Provider Name: RUSH UNIVERSITY MEDICAL CENTER

Doing Business As: HUGGINIE CRANE ADOLESCENT HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2245 W JACKSON BLVD
CHICAGO, IL
ZIP 60612
Phone: (312) 829-6619
Get Directions

RUSH UNIVERSITY MEDICAL CENTER is a clinic center in Chicago, IL. The provider is 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). RUSH UNIVERSITY MEDICAL CENTER NPI is 1396906103. The provider is registered as an organization entity type.
The provider Is Doing Business As Hugginie Crane Adolescent Health Center.

The provider's business location address is:

2245 W JACKSON BLVD
CHICAGO, IL
ZIP 60612-910
Phone: (312) 829-6619

The provider's authorized official is Diane Y Smith .
The authorized official title is Instructor Community Health Nursing and has the following contact phone number (312) 942-6127.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.


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
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========004MEDICAIDILLINOIS

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: 11/14/2023

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