Organization
UNIVERSITY NEUROSURGERY AT LUTHERAN
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
SHAUN T O'LEARY M.D. (AUTHORIZED OFFICIAL)
(312) 942-6644
Entity
Organization
Contact information
Practice address
9301 GOLF RD, SUITE 206, DES PLAINES, IL 60016-1667
(312) 942-6644
(312) 942-2176
Mailing address
9301 GOLF RD, SUITE 206, DES PLAINES, IL 60016-1667
(312) 942-6644
(312) 942-2176
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637091
BC GROUP
IL
Enumeration date
02/22/2007
Last updated
03/11/2009
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