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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