College of Nursing Faculty Practice

NPI #1588010276 in Chicago, Illinois

Provider Information

NPI Number
1588010276
Entity Type
Organization
Organization Name
College of Nursing Faculty Practice
Subpart
Yes (part of a larger organization)
Parent Organization
RUSH UNIVERSITY MEDICAL CENTER
Primary Specialty
Clinic/Center - Ambulatory Family Planning Facility
Enumeration Date
May 11, 2016
Last Updated
May 11, 2016

Practice Location

Address
1645 W JACKSON BLVD
Address 2
SUITE 315
ZIP Code
60612-3276
Phone
(312) 942-2777

Authorized Official

Name
STEPHEN GILLENWATER
Title
PROGRAM MANAGER
Phone
(312) 942-2859

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory Family Planning FacilityAmbulatory Family Planning Facility

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