Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Geriatric Care Partners
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
MARTIN J GORBIEN M.D. (AUTHORIZED OFFICIAL)
(312) 942-7030
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 955, CHICAGO, IL 60612-3841
(312) 942-7030
Mailing address
1725 W HARRISON ST, SUITE 955, CHICAGO, IL 60612-3841
(312) 942-7030
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622513
BC PPO
IL
Enumeration date
05/05/2006
Last updated
08/09/2013
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