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Organization

RUSH-COPLEY MEDICAL GROUP

Active
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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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