Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLACHY JAVIER DAVILA-SALDANA MD (RESIDENT)
(773) 687-8654
Entity
Organization
Contact information
Practice address
1645 W JACKSON BLVD STE 215, CHICAGO, IL 60612-3227
(312) 942-8000
Mailing address
1116 N HERMITAGE AVE APT 1F, CHICAGO, IL 60622-7579
(773) 687-8654
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125-053408
IL
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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