Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
MR. CARL L. ANDERSON M.S. (EXECUTIVE DIRECTOR)
(312) 563-3593
Entity
Organization
Contact information
Practice address
2001 BUTTERFIELD RD, SUITE 320, DOWNERS GROVE, IL 60515-1050
(312) 563-3623
(312) 563-3701
Mailing address
2001 BUTTERFIELD RD, SUITE 320, DOWNERS GROVE, IL 60515-1050
(131) 256-3362
(312) 563-3701
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-9210-0002-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1817
BLUE CROSS BLUE SHIELD #
IL
01
—
2230317
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
10/04/2006
Last updated
01/22/2008
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