# RUSH UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164688792
- **Authorized official:** CONNIE LANE M.D. (RESIDENCY PROGRAM DIRECTOR)
- **Authorized official phone:** (312) 942-5509

## Contact information

- **Practice address:** 1653 W CONGRESS PKWY, DIAGNOSTIC RADIOLOGY, CHICAGO, IL 60612-3833
- **Practice address phone:** (312) 942-5509
- **Mailing address:** 1653 W CONGRESS PKWY, DIAGNOSTIC RADIOLOGY, CHICAGO, IL 60612-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125051928 | IL | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 08/04/2008