Organization
RUSH UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CANNON (RESIDENT PHYSICIAN)
(312) 497-7703
Entity
Organization
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
808 W UNIVERSITY LN, CHICAGO, IL 60608-1059
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
125051892
IL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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