Rush Alzheimers Disease Center | |
600 S Paulina St Suite 130 Chicago IL 60612-3806 | |
(312) 942-3333 | |
(312) 942-4154 |
Full Name | Rush Alzheimers Disease Center |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 600 S Paulina St, Chicago, Illinois |
Authorized Official Name and Position | Raj C Shah (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3125632902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rush Alzheimers Disease Center 600 S Paulina St Suite 130 Chicago IL 60612-3806 Ph: (312) 942-3333 | Rush Alzheimers Disease Center 600 S Paulina St Suite 130 Chicago IL 60612-3806 Ph: (312) 942-3333 |
NPI Number | 1851420319 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 03/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851420319 | NPI | - | NPPES |
01617418 | Other | IL | BC GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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