Organization
UNIVERSITY THORACIC SURGEONS
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
JANICE BURKART (AUTHORIZED OFFICIAL/ADMINISTRATOR)
(312) 563-4334
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 774, CHICAGO, IL 60612
(312) 942-6725
(312) 942-6730
Mailing address
1725 W HARRISON ST, SUITE 774, CHICAGO, IL 60612
(312) 942-6725
(312) 942-6730
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636661
BC GROUP #
IL
Enumeration date
09/20/2006
Last updated
02/25/2011
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