Organization
ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (VICE PRESIDENT)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1645 W JACKSON BLVD, SUITE 602, CHICAGO, IL 60612-3276
(312) 942-8387
(312) 942-8374
Mailing address
1645 W JACKSON BLVD, SUITE 602, CHICAGO, IL 60612-3276
(312) 942-8387
(312) 942-8374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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