Organization
RUSH PRES ST. LUKE'S MED CENTER
Active
Parent organization
RUSH PRES ST. LUKE'S MED CENTER
Other names
Dermatology Patient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH PRES ST. LUKE'S MED CENTER
Authorized official
MICHAEL D THARP MD (DIRECTOR)
(312) 942-5000
Entity
Organization
Contact information
Practice address
4711 GOLF RD STE 711, SKOKIE, IL 60076-1245
(847) 568-9911
(847) 568-9912
Mailing address
4711 GOLF RD STE 711, SKOKIE, IL 60076-1245
(847) 568-9911
(847) 568-9912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
06/13/2008
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