NPIMap

Organization Active NPI

Advocate Christ Medical Center

  • Emergency Care Clinic/Center
  • Lemont, IL
National Provider Identifier
1295119808
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
209012912 Issued in IL
Legal business name
ADVOCATE CHRIST MEDICAL CENTER
Practice address
12997 Sunrise Dr
Lemont, IL 60439-4565
Phone
(708) 903-3974
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Mrs. Jennifer Rusco, FNP-BC
Title
Apn- Emergency Services
Phone
(708) 903-3974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 209012912 IL Primary

Addresses

Primary practice location

12997 Sunrise Dr
Lemont, IL 60439-4565

Mailing address

12997 Sunrise Dr
Lemont, IL 60439-4565
Phone (708) 903-3974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1295119808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12997 SUNRISE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394565",
            "telephone_number": "708-903-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 SUNRISE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394565",
            "telephone_number": "708-903-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE CHRIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "RUSCO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "APN- EMERGENCY SERVICES",
        "authorized_official_telephone_number": "708-903-3974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IL",
            "license": "209012912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.