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Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
University Consultants in Allergy & Immunology
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
MARY C TOBIN M.D. (AUTHORIZED OFFICIAL)
(312) 942-6296
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 117, CHICAGO, IL 60612-3841
(312) 942-6296
Mailing address
1725 W HARRISON ST, SUITE 117, CHICAGO, IL 60612-3841
(312) 942-6296
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01616229
BC GROUP
IL
Enumeration date
10/31/2006
Last updated
11/09/2007
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