Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush Alzheimers Disease Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
RAJ C SHAH M.D. (AUTHORIZED OFFICIAL)
(312) 563-2902
Entity
Organization
Contact information
Practice address
600 S PAULINA ST, SUITE 130, CHICAGO, IL 60612-3806
(312) 942-3333
(312) 942-4154
Mailing address
600 S PAULINA ST, SUITE 130, CHICAGO, IL 60612-3806
(312) 942-3333
(312) 942-4154
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01617418
BC GROUP
IL
Enumeration date
03/02/2007
Last updated
03/17/2008
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