Organization
RUSH OAK PARK PHYSICIANS GROUP ADULT MEDICINE
Active
Parent organization
RUSH MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH MEDICAL GROUP
Authorized official
SCOTT A HALPER (AUTHORIZED OFFICIAL)
(312) 942-7770
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, SUITE 4600, OAK PARK, IL 60304-1091
(708) 660-2240
Mailing address
610 S MAPLE AVE, SUITE 4600, OAK PARK, IL 60304-1091
(708) 660-2240
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
IL
207R00000X
Internal Medicine Physician
—
IL
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
01/18/2012
Last updated
09/25/2024
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