Organization
RUSH CENTER FOR CONGENITAL & STRUCTURAL HEART DISEASE
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
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
1653 W CONGRESS PKWY, 708 KELLOGG, CHICAGO, IL 60612-3833
(312) 942-6800
Mailing address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3833
(312) 942-6800
(312) 942-5360
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638445
BC PIN
IL
Enumeration date
09/18/2007
Last updated
11/01/2008
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