# RUSH UNIVERSITY PEDIATRIC CARDIAC SURGEONS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUSH UNIVERSITY MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174793327
- **Legal business name:** RUSH UNIVERSITY MEDICAL CENTER
- **Authorized official:** BRIAN T SMITH (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (312) 942-6909

## Contact information

- **Practice address:** 1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
- **Practice address phone:** (312) 563-3834
- **Mailing address:** 1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
- **Mailing address phone:** (312) 563-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 07/14/2011