Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SHAUGHNESSY (ASST VP - REIMBURSEMENT)
(312) 563-4410
Entity
Organization
Contact information
Practice address
1700 W VAN BUREN ST, SUITE 291, CHICAGO, IL 60612-5500
(312) 563-4410
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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