Organization
DEPARTMENT OF PSYCHIATRY AT RUSH
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush University Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
ARTHUR ROGGOW (AUTHORIZED OFFICIAL)
(312) 942-7801
Entity
Organization
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5372
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125069704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36217483017
—
IL
Enumeration date
09/29/2016
Last updated
09/29/2016
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