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Organization
RUSH OAK PARK PHYSICIANS GROUP ADULT MEDICINE
Active
Organization
RUSH OAK PARK PHYSICIANS GROUP ADULT MEDICINE
Active
Parent organization
RUSH MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH MEDICAL GROUP
Authorized official
SCOTT A HALPER (AUTHORIZED OFFICIAL)
(312) 942-7770
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, SUITE 4600, OAK PARK, IL 60304-1091
(708) 660-2240
Mailing address
610 S MAPLE AVE, SUITE 4600, OAK PARK, IL 60304-1091
(708) 660-2240
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
IL
207R00000X
Internal Medicine Physician
—
IL
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
01/18/2012
Last updated
09/25/2024
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