Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIOS JOHN LOUIS M.D. (RESIDENT PHYSICIAN)
(312) 942-3263
Entity
Organization
Contact information
Practice address
1653 W HARRISON ST, CHICAGO, IL 60612-3824
(312) 942-3263
Mailing address
347 CIRCLE LN, LAKE FOREST, IL 60045-3305
(312) 524-6890
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125048597
IL
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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