Individual
JANELLE CHARISE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 W LOYOLA AVE, CHICAGO, IL 60626-5193
(177) 396-4860
Mailing address
1241 W LOYOLA AVE, CHICAGO, IL 60626-5193
(177) 396-4860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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