Organization
RUSH OAK PARK ER PHYSICIANS GROUP
Active
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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