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Organization
RUSH OAK PARK PHYSICIANS GROUP CENTER FOR DIABETES AND ENDOCRINE
Active
Organization
RUSH OAK PARK PHYSICIANS GROUP CENTER FOR DIABETES AND ENDOCRINE
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
520 S MAPLE AVE, 3RD FLOOR, OAK PARK, IL 60304-1022
(708) 660-5900
Mailing address
520 S MAPLE AVE, 3RD FLOOR, OAK PARK, IL 60304-1022
(708) 660-5900
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
IL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/04/2012
Last updated
09/25/2024
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