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RUSH UNIVERSITY MEDICAL CENTER NPI 1003875485


NPI Information

NPI: 1003875485
Provider Name: RUSH UNIVERSITY MEDICAL CENTER

Doing Business As: CONSULTANTS IN HEMATOLOGY

Classification: Internal Medicine - 207RH0000X
Entity Type: Organization

Specialization: Hematology

CLIA Number: 14D2050651

Address:
1725 W HARRISON ST
SUITE 1010
CHICAGO, IL
ZIP 60612
Phone: (312) 942-5904
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RUSH UNIVERSITY MEDICAL CENTER is a hematology internal medicine in Chicago, IL. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. RUSH UNIVERSITY MEDICAL CENTER NPI is 1003875485. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Consultants In Hematology.

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 John H Paulsen .
The authorized official title is Delegated Official and has the following contact phone number (312) 563-2320.

The CLIA number assigned to this NPI record is 14D2050651 - other - hosp ambulatory cancer ct with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 1/21/2011.


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
1363L00000XNurse PractitionerNo
2174400000XSpecialistNo
3207RH0003XInternal MedicineHematology & OncologyNo
4207RH0000XInternal MedicineHematologyYes

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
101615605OTHERILLINOISBC PPO
2203633MEDICARE PINILLINOIS
3461540MEDICARE 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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