Organization
AFFILIATED PLASTIC SURGERY
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 (VICE PRESIDENT/AO)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 425, CHICAGO, IL 60612-3841
(312) 563-3000
Mailing address
1725 W HARRISON ST, SUITE 425, CHICAGO, IL 60612-3841
(312) 563-3000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Enumeration date
06/26/2007
Last updated
08/04/2014
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