Dr. Dana Rusch
Clinical Child & Adolescent Psychologist
1747 W Roosevelt Rd Institute For Juvenile Research, Colbeth Clinic
Chicago
, Illinois 60608-1264
Dr. Dana Rusch
Clinical Child & Adolescent Psychologist
1747 W Roosevelt Rd Institute For Juvenile Research, Colbeth Clinic
Chicago
, Illinois 60608-1264
(773) 339-5159
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Dana Rusch
- 2819 W Cortez St Apt 3e
- Chicago, IL
- Zip : 60622-6985
- Phone : (773) 339-5159
Second Address
- Dr. Dana Rusch
- 1747 W Roosevelt Rd Institute For Juvenile Research, Colbeth Clinic
- Chicago, IL
- Zip : 60608-1264
- Phone : (312) 996-7723
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 071008927 | IL |
National Provider Identifier
| NPI | 1053799015 |
|---|---|
| Provider Name | Dr. Dana Rusch |
| First Address | Chicago, IL 60622-6985 |
| Second Address | Chicago, IL 60608-1264 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.