Organization
RUSH UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN WIDEMAN RN, DNP (DIRECTOR FACULTY PRACTICE/OUTREACH)
(312) 942-7013
Entity
Organization
Contact information
Practice address
730 N PULASKI RD, ROOM 109 ORR SCHOOL BASE HEALTH CENTER, CHICAGO, IL 60624-1063
(773) 534-8924
(773) 534-8927
Mailing address
600 S PAULINA ST, AAF SUITE 1036, CHICAGO, IL 60612-3806
(312) 942-5836
(312) 942-6226
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
209-002424
IL
Other
Enumeration date
02/27/2007
Last updated
07/10/2008
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