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Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Lifetime Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (VP/AUTHORIZED OFFICIAL)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1645 W JACKSON BLVD, SUITE 215, CHICAGO, IL 60612-3276
(312) 942-8000
Mailing address
1645 W JACKSON BLVD, SUITE 215, CHICAGO, IL 60612-3276
(312) 942-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/07/2006
Last updated
08/09/2013
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