Organization
DEPARTMENT OF PSYCHIATRY AT RUSH
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
ARTHUR ROGGOW (AUTHORIZED OFFICIAL)
(312) 942-7801
Entity
Organization
Contact information
Practice address
1645 W JACKSON BLVD, SUITE 600, CHICAGO, IL 60612-3276
(312) 942-2400
Mailing address
1645 W JACKSON BLVD, SUITE 600, CHICAGO, IL 60612-3276
(312) 942-2400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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