Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
University Cardiologists
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (VICE PRESIDENT/AUTHORIZED OFFICIAL)
(312) 942-6909
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Mailing address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364SM0705X
Medical-Surgical Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618102
BC PPO
IL
Enumeration date
07/21/2006
Last updated
02/01/2013
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