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Organization

RUSH UNIVERSITY MEDICAL CENTER

Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Hugginie Crane Adolescent Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
DIANE Y SMITH MSN, APN,CNP (INSTRUCTOR COMMUNITY HEALTH NURSING)
(312) 942-6127
Entity
Organization

Contact information

Practice address
2245 W JACKSON BLVD, CHICAGO, IL 60612-2910
(312) 829-6619
Mailing address
600 S PAULINA ST, SUITE 1028, CHICAGO, IL 60612-3806
(312) 942-6127
(312) 942-6226

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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