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Organization

UNIVERSITY PHYSICAL MEDICINE AND REHABILITATION

Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
JOSHU ELLIS (AUTHORIZED OFFICIAL)
(312) 563-2717
Entity
Organization

Contact information

Practice address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 942-6644
Mailing address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 942-6644

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01636260
BC
IL
Enumeration date
05/05/2006
Last updated
02/16/2011
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