Provider Demographics
NPI:1407299001
Name:COLLEGE OF NURSING FACULTY PRACTICE
Entity Type:Organization
Organization Name:COLLEGE OF NURSING FACULTY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-942-7770
Mailing Address - Street 1:600 S PAULINA ST
Mailing Address - Street 2:SUITE 1080
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3806
Mailing Address - Country:US
Mailing Address - Phone:312-942-0782
Mailing Address - Fax:312-942-3043
Practice Address - Street 1:600 S PAULINA ST
Practice Address - Street 2:SUITE 1080
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3806
Practice Address - Country:US
Practice Address - Phone:312-942-0782
Practice Address - Fax:312-942-3043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUSH UNIVERSITY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-12
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center