Organization
RUSH-COPLEY MEDICAL GROUP
Active
Parent organization
RUSH-COPLEY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH-COPLEY MEDICAL GROUP
Authorized official
MARCEE BRUMMEL (EXECUTIVE DIRECTOR)
(630) 978-4915
Entity
Organization
Contact information
Practice address
2040 OGDEN AVE, STE 30, AURORA, IL 60504-7222
(630) 978-6770
(630) 978-6773
Mailing address
1256 WATERFORD DR STE 230, AURORA, IL 60504-4511
(630) 499-2404
(630) 692-5518
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-110500
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208039
MEDICARE GROUP
IL
Enumeration date
03/25/2008
Last updated
02/21/2018
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