RUSH PEDIATRIC SURGEONS NPI 1124076526

NPI Information

RUSH PEDIATRIC SURGEONS is a pediatric surgery surgery in Chicago, IL. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. RUSH PEDIATRIC SURGEONS NPI is 1124076526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1725 W HARRISON ST
SUITE 818
CHICAGO, IL
ZIP 60612-841
Phone: (312) 942-5397

The provider's authorized official is Richard Prinz .
The authorized official title is Authorized Official and has the following contact phone number (312) 942-5397.

The CLIA number assigned to this NPI record is 14D2090277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 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:

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