# COPLEY MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COPLEY MEMORIAL HOSPITAL, INC.
- **Other names:** Rush Copley Multispecialty Group Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619466034
- **Legal business name:** COPLEY MEMORIAL HOSPITAL, INC.
- **Authorized official:** JOHN DIEDERICH (PRESIDENT AND CEO)
- **Authorized official phone:** (630) 978-4941

## Contact information

- **Practice address:** 2040 OGDEN AVE STE 217, AURORA, IL 60504-7205
- **Practice address phone:** (630) 499-4721
- **Mailing address:** 2000 OGDEN AVE, AURORA, IL 60504-5893
- **Mailing address phone:** (630) 499-4721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 05/02/2018
- **Last updated:** 08/18/2025