Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush University Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (AUTHORIZED OFFICIAL)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 810, CHICAGO, IL 60612-3841
(312) 942-5500
(312) 563-2080
Mailing address
1725 W HARRISON ST, SUITE 810, CHICAGO, IL 60612-3841
(312) 942-5500
(312) 563-2080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622410
BCBS OF IL PROVIDER #
IL
Enumeration date
02/27/2006
Last updated
06/21/2018
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