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RUSH-COPLEY MEDICAL GROUP NPI 1376894501


NPI Information

NPI: 1376894501
Provider Name: RUSH-COPLEY MEDICAL GROUP
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2040 OGDEN AVE.
SUITE 304
AURORA, IL
ZIP 60504
Phone: (630) 236-4270
Get Directions

RUSH-COPLEY MEDICAL GROUP is a sports medicine physical medicine rehabilitation in Aurora, IL. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. RUSH-COPLEY MEDICAL GROUP NPI is 1376894501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2040 OGDEN AVE.
SUITE 304
AURORA, IL
ZIP 60504
Phone: (630) 236-4270
Fax: (630) 236-4271

The provider's authorized official is Marcee A Brummel .
The authorized official title is Executive Director and has the following contact phone number (630) 499-2404.

The enumeration date for this NPI number is 9/27/2012 and was last updated on 2/21/2018.


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
1207QS0010XFamily MedicineSports MedicineNo
2207RS0010XInternal MedicineSports MedicineNo
32081S0010XPhysical Medicine & RehabilitationSports MedicineYes
42083S0010XPreventive MedicineSports MedicineNo

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
1036-112492MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.