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Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Gynecological Care Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (VICE PRESIDENT/AUTHORIZED OFFICIAL)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1645 W JACKSON BLVD, SUITE 310, CHICAGO, IL 60612-3276
(312) 942-8060
Mailing address
1645 W JACKSON BLVD, SUITE 310, CHICAGO, IL 60612-3276
(312) 942-8060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/31/2006
Last updated
05/07/2012
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