Janelle Charise Rush
Community/Behavioral Health in Chicago, IL. Individual provider (NPI-1).
NPI number1548041015
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1548041015
- Entity type
- Individual (NPI-1)
- Name
- Janelle Charise Rush
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1241 W Loyola AveChicago, IL 60626-5193
Phone 177-396-4860
Mailing address
1241 W Loyola AveChicago, IL 60626-5193
Phone 177-396-4860
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