Organization
RUSH-COPLEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCEE A BRUMMEL (EXECUTIVE DIRECTOR)
(630) 978-4915
Entity
Organization
Contact information
Practice address
1100 W VETERANS PKWY, SUITE 200, YORKVILLE, IL 60560-4728
(630) 820-4040
(630) 978-1240
Mailing address
1256 WATERFORD DR STE 230, AURORA, IL 60504-4511
(630) 499-2404
(630) 692-5518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036073955
IL
207RG0100X
Gastroenterology Physician
Primary
036073955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073955
—
IL
Enumeration date
08/09/2011
Last updated
02/21/2018
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