Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
University Rheumatologists
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
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612-4861
(312) 563-2800
(312) 563-2075
Mailing address
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612-4861
(312) 563-2800
(312) 563-2075
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01617829
BC PPO
IL
Enumeration date
07/17/2006
Last updated
01/16/2013
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