RUSH UNIVERSITY MEDICAL CENTER NPI 1417043977

NPI Information

NPI: 1417043977
Provider Name: RUSH UNIVERSITY MEDICAL CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
Phone: (312) 942-5000
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RUSH UNIVERSITY MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. RUSH UNIVERSITY MEDICAL CENTER NPI is 1417043977. The provider is registered as an organization entity type.

The provider's business location address is:

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612-833
Phone: (312) 942-5000
Fax: (312) 942-2055

The provider's authorized official is Kevin P Shaughnessy .
The authorized official title is Asst Vp - Reimbursement and has the following contact phone number (312) 563-4410.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36217483017	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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