Individual provider Active NPI

Marc Emile Hallez, RN

  • Administrator Registered Nurse
  • Chicago, IL
National Provider Identifier
1447490305
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
041.347466 Issued in IL
Practice address
1630 W Congress Parkway
Rush Health Associates
Chicago, IL 60612
Phone
(312) 563-4082
Fax
(312) 563-4402
NPI assigned
Mar 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 041.347466 IL Primary

Addresses

Primary practice location

1630 W Congress Parkway
Rush Health Associates
Chicago, IL 60612

Mailing address

714 S Washington St
Elmhurst, IL 60126-4349
Phone (847) 651-5675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.347466ILMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1447490305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S WASHINGTON ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264349",
            "telephone_number": "847-651-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W CONGRESS PARKWAY",
            "address_2": "RUSH HEALTH ASSOCIATES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-563-4082",
            "fax_number": "312-563-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEZ",
        "first_name": "MARC",
        "middle_name": "EMILE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041.347466",
            "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 Mar 4, 2009; 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.