# RUSH-COPLEY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUSH-COPLEY MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942301270
- **Legal business name:** RUSH-COPLEY MEDICAL GROUP
- **Authorized official:** MARCEE BRUMMEL (EXEC. DIRECTOR)
- **Authorized official phone:** (630) 978-4915

## Contact information

- **Practice address:** 2040 OGDEN AVE, SUITE 301, AURORA, IL 60504-7222
- **Practice address phone:** (630) 978-6895
- **Practice address fax:** (630) 375-2905
- **Mailing address:** 1256 WATERFORD DR STE 230, AURORA, IL 60504-4511
- **Mailing address phone:** (630) 499-2404
- **Mailing address fax:** (630) 692-5518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 02/21/2018