Rush Adolescent Family Center

NPI #1902922115 in Chicago, Illinois

Provider Information

NPI Number
1902922115
Entity Type
Organization
Organization Name
Rush Adolescent Family Center
Primary Specialty
Clinic/Center - Ambulatory Family Planning Facility
Enumeration Date
Mar 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1645 W JACKSON BLVD STE 315
ZIP Code
60612-3227
Phone
(312) 942-2777

Authorized Official

Name
MR. 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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Provider Name
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Part of Rush University Medical Center

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