Organization
RUSH PEDIATRIC SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PRINZ M.D. (AUTHORIZED OFFICIAL)
(312) 942-5397
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 818, CHICAGO, IL 60612-3841
(312) 942-5397
Mailing address
1725 W HARRISON ST, SUITE 818, CHICAGO, IL 60612-3841
(312) 942-5397
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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