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Organization
RUSH UNIVERSITY PEDIATRIC CARDIAC SURGEONS
Active
Organization
RUSH UNIVERSITY PEDIATRIC CARDIAC SURGEONS
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
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, CHICAGO, IL 60612-3833
(312) 563-3834
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 563-3834
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
07/14/2011
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