# RUSH-COPLEY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rush-Copley Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528105723
- **Authorized official:** MARCEE A. BRUMMEL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (630) 499-4749

## Contact information

- **Practice address:** 1100 VETERANS PKWY, SUITE 310, YORKVILLE, IL 60560-1366
- **Practice address phone:** (630) 466-3470
- **Practice address fax:** (630) 375-2905
- **Mailing address:** 1100 VETERAN'S PKWY, SUITE 310, YORKVILLE, IL 60560-1366
- **Mailing address phone:** (630) 466-3470
- **Mailing address fax:** (630) 375-2905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 036-043320 | IL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 036-043320 | IL | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 12/31/2012