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Organization

RUSH UNIVERSITY MEDICAL CENTER

Active
Parent organization
RUSH UNIVERSITY MEDICAL CENTER
Other names
University Radiation Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Authorized official
BRIAN T SMITH (AUTHORIZED OFFICIAL)
(312) 942-6909
Entity
Organization

Contact information

Practice address
520 S PAULINA ST, CHICAGO, IL 60612-3804
(312) 942-5751
Mailing address
520 S PAULINA ST, CHICAGO, IL 60612-3804
(312) 942-5751

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01620122
BLUE CROSS PPO
IL
Enumeration date
02/27/2006
Last updated
10/04/2013
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