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Organization

RUSH AMBULATORY BEHAVIORAL HEALTH

Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
ARTHUR H ROGGOW (AUTHORIZED OFFICIAL)
(312) 942-7801
Entity
Organization

Contact information

Practice address
2150 W. HARRISON ST., CHICAGO, IL 60612-3706
(312) 942-7320
Mailing address
2150 W. HARRISON ST., CHICAGO, IL 60612-3706
(312) 942-7320

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL
1041C0700X
Clinical Social Worker
IL
207Q00000X
Family Medicine Physician
IL
207R00000X
Internal Medicine Physician
IL
2084P0800X
Psychiatry Physician
IL
2084P0804X
Child & Adolescent Psychiatry Physician
IL
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
IL

Other

Enumeration date
09/13/2007
Last updated
04/22/2008
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