Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Consultants in Endocrinology
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
JOHN PAULSEN (AUTHORIZED OFFICIAL)
(312) 942-7118
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 250, CHICAGO, IL 60612-3841
(312) 942-6163
Mailing address
1725 W HARRISON ST, SUITE 250, CHICAGO, IL 60612-3841
(312) 942-6163
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/27/2006
Last updated
12/03/2009
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