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Organization

RUSH UNIVERSITY MEDICAL CENTER

Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush University Emergency Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
JULIO C SILVA (AUTHORIZED OFFICIAL)
(312) 942-8149
Entity
Organization

Contact information

Practice address
1653 W CONGRESS PKWY, SUITE 177, CHICAGO, IL 60612-3833
(312) 942-8149
Mailing address
1653 W CONGRESS PKWY, SUITE 177, CHICAGO, IL 60612-3833
(312) 942-8149

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01617919
BC PPO
IL
Enumeration date
02/28/2006
Last updated
06/16/2009
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