Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZISTI DEMBOWSKI (DIVISION ADMINISTRATOR)
(312) 942-3468
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST STE 809, CHICAGO, IL 60612-3861
(312) 942-3468
Mailing address
1725 W HARRISON ST STE 809, CHICAGO, IL 60612-3861
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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