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Organization
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Active
Organization
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Active
Parent organization
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Other names
Anchor Oak Park Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Authorized official
THERESA M DABEK M.D. (AUTHORIZED OFFICIAL)
(708) 524-1674
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, SUITE 3900, OAK PARK, IL 60304-1091
(708) 524-1674
Mailing address
610 S MAPLE AVE, SUITE 3900, OAK PARK, IL 60304-1091
(708) 524-1674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623486
BC GROUP
IL
Enumeration date
05/09/2006
Last updated
01/23/2009
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