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Organization
RUSH OAK PARK PHYSICIANS GROUP LAKE STREET
Active
Organization
RUSH OAK PARK PHYSICIANS GROUP LAKE STREET
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
1011 LAKE ST, SUITE 300, OAK PARK, IL 60301-1148
(708) 628-0600
Mailing address
1011 LAKE ST, SUITE 300, OAK PARK, IL 60301-1148
(708) 628-0600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/06/2013
Last updated
09/26/2024
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