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Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush University Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (AUTHORIZED OFFICIAL)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1653 W CONGRESS PKWY, 622 MURDOCK, CHICAGO, IL 60612-3833
(312) 942-7154
Mailing address
1653 W CONGRESS PKWY, 622 MURDOCK, CHICAGO, IL 60612-3833
(312) 942-7154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
05/09/2007
Last updated
06/16/2014
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