Organization
INTERNAL MEDICINE AT RUSH
Active
Organization
INTERNAL MEDICINE AT RUSH
Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
JOHN PAULSEN (DIRECTOR OF FINANCE)
(312) 942-7118
Entity
Organization
Contact information
Practice address
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612-4861
(312) 563-4060
Mailing address
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612-4861
(312) 563-4060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637702
BC PPO
IL
Enumeration date
08/07/2007
Last updated
09/23/2010
Update your record
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