Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LANE M.D. (RESIDENCY PROGRAM DIRECTOR)
(312) 942-5509
Entity
Organization
Contact information
Practice address
1653 W CONGRESS PKWY, DIAGNOSTIC RADIOLOGY, CHICAGO, IL 60612-3833
(312) 942-5509
Mailing address
1653 W CONGRESS PKWY, DIAGNOSTIC RADIOLOGY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125051928
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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