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RUSH UNIVERSITY MEDICAL CENTER NPI 1558320861


NPI Information

NPI: 1558320861
Provider Name: RUSH UNIVERSITY MEDICAL CENTER

Doing Business As: DIVISION OF HEMATOLOGY ONCOLOGY AND SECTION OF MEDICAL ONCOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 14D2217103

Address:
1725 W HARRISON ST
SUITE 1010
CHICAGO, IL
ZIP 60612
Phone: (312) 942-5904
Get Directions

RUSH UNIVERSITY MEDICAL CENTER is a hematology and oncology internal medicine in Chicago, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. RUSH UNIVERSITY MEDICAL CENTER NPI is 1558320861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Division Of Hematology Oncology And Section Of Medical Oncology.

The provider's business location address is:

1725 W HARRISON ST
SUITE 1010
CHICAGO, IL
ZIP 60612-841
Phone: (312) 942-5904
Fax: (312) 942-3192

The provider's authorized official is Brian T Smith .
The authorized official title is Authorized Official and has the following contact phone number (312) 942-6909.

The CLIA number assigned to this NPI record is 14D2217103 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 3/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical OncologyNo
2363L00000XNurse PractitionerNo
3174400000XSpecialistNo
4207RH0003XInternal MedicineHematology & OncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101616322OTHERILLINOISBC PPO
2532520MEDICARE PINILLINOIS
3211372MEDICARE PINILLINOIS

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

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