NPIMap

Organization Active NPI

College of Nursing Faculty Practice

Doing business as Rush Adolescent Family Center

  • Ambulatory Family Planning Facility
  • Chicago, IL
National Provider Identifier
1588010276
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
COLLEGE OF NURSING FACULTY PRACTICE
Doing business as
Rush Adolescent Family Center
Practice address
1645 W Jackson Blvd
Suite 315
Chicago, IL 60612-3276
Phone
(312) 942-2777
Fax
(312) 942-2822
NPI assigned
May 11, 2016
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Stephen Gillenwater
Title
Program Manager
Phone
(312) 942-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X IL Primary

Addresses

Primary practice location

1645 W Jackson Blvd
Suite 315
Chicago, IL 60612-3276

Mailing address

1645 W Jackson Blvd
Suite 315
Chicago, IL 60612-3276
Phone (312) 942-2777

Other names 1

  • RUSH ADOLESCENT FAMILY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
College of Nursing Faculty Practice6 organizations share this tax ID, including this one
Part of
University Anesthesiologists SC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1645 W Jackson Blvd
Ste 315
Chicago, IL 60612
Phone (312) 942-2777

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1588010276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-2777",
            "fax_number": "312-942-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-2777",
            "fax_number": "312-942-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE OF NURSING FACULTY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "GILLENWATER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "312-942-2859"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSH ADOLESCENT FAMILY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2016; 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.