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Organization

RUSH UNIVERSITY MEDICAL CENTER

Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
Rush Breast Imaging Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
PETER M JOKICH M.D. (AUTHORIZED OFFICIAL)
(312) 563-3269
Entity
Organization

Contact information

Practice address
1725 W HARRISON ST, SUITE 717, CHICAGO, IL 60612-3841
(312) 563-3269
(312) 563-3272
Mailing address
1725 W HARRISON ST, SUITE 717, CHICAGO, IL 60612-3841
(312) 563-3269
(312) 563-3272

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
09/12/2006
Last updated
08/22/2013
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