Jordan A Dale (NPI# 1124381058, PAC ID# 2668787193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1124381058 |
| PAC ID by PECOS | 2668787193 |
| Professional Enrollment ID | I20150813009408 |
| Full Name | Jordan A Dale |
| Organization Legal Name | RUSH UNIVERSITY MEDICAL CENTER |
| Address |
1700 W Van Buren St Suite 500 Chicago IL 60612-5500 |
| Phone Number | 3125632875 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2012 |
| Primary Specialty | HOSPITALIST |
| Group Practice PAC ID | 5496658874 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140119 | RUSH UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 | 3125632875 | RUSH UNIVERSITY MEDICAL CENTER |
| Organization Legal Name | RUSH UNIVERSITY MEDICAL CENTER |
| Physicians | 777 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elias M Michaelides | Otolaryngology | Rush University Medical Center | 1411 S Michigan Ave, Chicago, IL 60605-2810 |
| Judith Frei | Nurse Practitioner | Rush University Medical Center | 2333 W Jackson Blvd, Chicago, IL 60612-2957 |
| Jillian C Reddmann | Physician Assistant | Rush University Medical Center | 13707 W Jackson St, Woodstock, IL 60098-3188 |
| Parul Nafees Barry | Radiation Oncology | Rush University Medical Center | 500 S Paulina St, University Radiation Medicine, Chicago, IL 60612-3804 |
| Sameer Panjwani | Family Medicine | Rush University Medical Center | 1700 W Van Buren, Suite 470, Chicago, IL 60612-3291 |
| Fernando Espi Forcen | Psychiatry | Rush University Medical Center | 1725 W Harrison St, 161 University Transplant Program, Chicago, IL 60612-3854 |
| Suwon V Nopachai | Internal Medicine | Rush University Medical Center | 1645 W Jackson, Suite 215, Chicago, IL 60612-3227 |
| Suparna Dutta | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Colleen M Folkers | Nurse Practitioner | Rush University Medical Center | 1650 W Harrison St, Suite 430, Chicago, IL 60612-3800 |
| Christen A Tibbs | Internal Medicine | Rush University Medical Center | 230 W Monroe, Suite 1925, Chicago, IL 60606-4911 |
| Street Address |
1700 W VAN BUREN ST SUITE 500 |
| City | CHICAGO |
| State | IL |
| Zip | 60612-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suparna Dutta | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Ann S Goh | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Stephanie Crane | Internal Medicine | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Rupel H Dedhia | Internal Medicine | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Wanna Zhang | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Shaina S Mann | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Pablo N Quintana | Internal Medicine | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Frank Albert Tenuto | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Dorian F Guerra | Internal Medicine | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Catherine Anne Dimou | Hospitalist | Rush University Medical Center | 1700 W Van Buren St, Suite 500, Chicago, IL 60612-5500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Carbray | Nurse Practitioner | The Board of Trustees of The University of Illinois | 1747 W Roosevelt Rd, Chicago, IL 60612-1264 |
| Keith A La Vallee | Optometry | 2111 W Superior St, Chicago, IL 60612-1315 | |
| Ricky Johnson | Internal Medicine | 3169 W Madison St, Chicago, IL 60612-1809 | |
| Valerie L Wezran | Nurse Practitioner | Access Community Health Network | 2409 W Warren Blvd, Chicago, IL 60612-2115 |
| Shay L Ward | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Angie Wang | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Amanda Christine Harrington | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Rena Chaya Schwartz | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Alexia Boima Caulker | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Brian S Boe | Internal Medicine | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Find all physicians in zip 60612 | |||
| City | CHICAGO |
| Zip Code | 60612 |
| Specialty | HOSPITALIST |
| City + Specialty | CHICAGO + HOSPITALIST |
Please comment or provide details below to improve the information on Jordan A Dale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.