Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Dermatology Patient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
MICHAEL D. THARP MD (DIRECTOR)
(312) 942-5000
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195
(312) 563-2263
Mailing address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195
(312) 563-2263
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
09/09/2013
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