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14D2156220 CLIA NUMBER - RUSH OAK BROOK

Laboratory Demographics

CLIA Number: 14D2156220

Facility Name: RUSH OAK BROOK

Facility Address:
2011 YORK RD - STE 2000
OAK BROOK, IL
ZIP 60523
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Facility Phone Number: 630 724-1300

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1801375696

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D2156220
LAB Type Physician Office
Facility Name RUSH OAK BROOK
Street 2011 YORK RD - STE 2000
City OAK BROOK
State IL
ZIP 60523
Phone 630 724-1300
CertificateType 4
CertificateEffectiveDate 10/12/2022
CertificateExpirationDate 10/11/2024
FacilityType Waiver

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