Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Parent organization
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Other names
Rush Pediatric Medical Service Plan
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Authorized official
KENNETH M BOYER M.D. (AUTHORIZED OFFICIAL)
(312) 942-2200
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 710, CHICAGO, IL 60612-3841
(312) 942-3034
Mailing address
1725 W HARRISON ST, SUITE 710, CHICAGO, IL 60612-3841
(312) 942-3034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
07/12/2013
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