Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Division of Hematology Oncology and Section of Medical Oncology
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 1010, CHICAGO, IL 60612-3841
(312) 942-5904
(312) 942-3192
Mailing address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-5904
(312) 942-3192
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01616322
BC PPO
IL
Enumeration date
03/23/2006
Last updated
03/07/2012
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