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COLLEGE OF NURSING FACULTY PRACTICE NPI 1902239809


NPI Information

NPI: 1902239809
Provider Name: COLLEGE OF NURSING FACULTY PRACTICE

Doing Business As: ORR ADOLESCENT HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 14D1040195

Address:
730 N PULASKI RD
CHICAGO, IL
ZIP 60624
Phone: (773) 534-8924
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COLLEGE OF NURSING FACULTY PRACTICE 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). COLLEGE OF NURSING FACULTY PRACTICE NPI is 1902239809. The provider is registered as an organization entity type.
The provider Is Doing Business As Orr Adolescent Health Center.

The provider's business location address is:

730 N PULASKI RD
CHICAGO, IL
ZIP 60624-063
Phone: (773) 534-8924
Fax: (773) 534-8927

The provider's authorized official is Deidre Wesley .
The authorized official title is Office Dean/authorized Official and has the following contact phone number (312) 942-0782.

The CLIA number assigned to this NPI record is 14D1040195 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/14/2013 and was last updated on 8/14/2013.


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/CenterILLINOISYes

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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