NPIMap

Organization Active NPI

Rush Health and Aging

  • Social Worker
  • Chicago, IL
National Provider Identifier
1215246269
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RUSH HEALTH AND AGING
Practice address
710 S Paulina St
Suite 438
Chicago, IL 60612-3808
Phone
(312) 563-2702
Fax
(312) 942-6116
NPI assigned
Sep 24, 2010
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robyn L Golden, LCSWNPI 1376751164
Title
Director - Authorized Official
Phone
(312) 942-4436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

710 S Paulina St
Suite 438
Chicago, IL 60612-3808

Mailing address

710 S Paulina St
Suite 438
Chicago, IL 60612-3808
Phone (312) 563-2702

National Provider Directory

National Provider Directory
Part of
Invalid Entry

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

710 S Paulina St
#438
Chicago, IL 60612
Phone (312) 942-4099

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1215246269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S PAULINA ST",
            "address_2": "SUITE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123808",
            "telephone_number": "312-563-2702",
            "fax_number": "312-942-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S PAULINA ST",
            "address_2": "SUITE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123808",
            "telephone_number": "312-563-2702",
            "fax_number": "312-942-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH HEALTH AND AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2010-09-24",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR - AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-4436",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.