Active NPI
Rush University Medical Center
- Clinic/Center
- Chicago, IL
National Provider Identifier
1396906103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- RUSH UNIVERSITY MEDICAL CENTER
- Practice address
- 2245 W Jackson Blvd
Chicago, IL 60612-2910 - Phone
- (312) 829-6619
- NPI assigned
- Jun 24, 2008
- Organization subpart
- Yes
- Parent organization
- RUSH UNIVERSITY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Y Smith, MSN, APN,CNP
- Title
- Instructor Community Health Nursing
- Phone
- (312) 942-6127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2245 W Jackson Blvd
Chicago, IL 60612-2910
Mailing address
600 S Paulina St
Suite 1028
Chicago, IL 60612-3806
Phone (312) 942-6127
Other names 1
- Hugginie Crane Adolescent Health Center
National Provider Directory
National Provider Directory- Tax ID family
- University Anesthesiologists SC
- Part of
- University Anesthesiologists SC
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
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-
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Locations
600 S Paulina St
Ste 1028
Chicago, IL 60612
2245 W Jackson Blvd
Chicago, IL 60612
Phone (312) 829-6619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1396906103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"address_2": "SUITE 1028",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-6127",
"fax_number": "312-942-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 W JACKSON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122910",
"telephone_number": "312-829-6619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
"enumeration_date": "2008-06-24",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "INSTRUCTOR COMMUNITY HEALTH NURSING",
"authorized_official_telephone_number": "312-942-6127",
"authorized_official_credential": "MSN, APN,CNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hugginie Crane Adolescent Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.