Black Nurses Rock

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

041153647 Issued in IL

Legal business name

BLACK NURSES ROCK

Practice address

46 E 26TH St
Chicago, IL 60616-2304

Phone

(312) 391-2929

Fax

(312) 326-3131

NPI assigned

Feb 5, 2017

Last updated

Feb 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Glenn I, RN

Title

President & Ceo

Phone

(312) 391-2929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1972041440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162304",
            "telephone_number": "312-391-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162304",
            "telephone_number": "312-391-2929",
            "fax_number": "312-326-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK NURSES ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "312-391-2929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": "041153647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.