Organization
RUSH OAK PARK ER PHYSICIANS GROUP
Active
Parent organization
RUSH MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH MEDICAL GROUP
Authorized official
SCOTT A HALPER (AUTHORIZED OFFICIAL)
(312) 942-7770
Entity
Organization
Contact information
Practice address
520 S MAPLE AVE, EMERGENCY DEPARTMENT, OAK PARK, IL 60304-1022
(708) 660-5995
(708) 660-2374
Mailing address
520 S MAPLE AVE, EMERGENCY DEPARTMENT, OAK PARK, IL 60304-1022
(708) 660-5995
(708) 660-2374
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036062839
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635416
BCBS ID
IL
01
—
DD5518
RAILROAD MEDICARE
IL
Enumeration date
08/08/2006
Last updated
05/13/2024
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