14D2069558 CLIA NUMBER - RUSH-COPLEY MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 14D2069558

Facility Name: RUSH-COPLEY MEDICAL GROUP

Facility Address:
2040 OGDEN AVE, STE 215
AURORA, IL
ZIP 60504
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Facility Phone Number: 630 375-2844

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982974689

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	14D2069558
LAB Type	Physician Office
Facility Name	RUSH-COPLEY MEDICAL GROUP
Street	2040 OGDEN AVE, STE 215
City	AURORA
State	IL
ZIP	60504
Phone	630 375-2844
CertificateType	4
CertificateEffectiveDate	11/26/2023
CertificateExpirationDate	11/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024