IndividualActive
Dana Rusch, PH.D.
NPI 1053799015 · Clinical Child & Adolescent Psychologist · Chicago, IL
Provider details
- NPI number
- 1053799015
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 071008927 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1747 W Roosevelt Rd
Institute for Juvenile Research, Colbeth Clinic
Chicago, IL 60608-1264
Phone: (312) 996-7723
Approximate (ZIP-level) locationGet directions
Mailing address
2819 W Cortez St
Chicago, IL 60622-6985
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.