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RUSH-COPLEY MEDICAL GROUP NPI 1477831220


NPI Information

NPI: 1477831220
Provider Name: RUSH-COPLEY MEDICAL GROUP
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1256 WATERFORD DR
SUITE 120
AURORA, IL
ZIP 60504
Phone: (630) 820-4040
Get Directions

RUSH-COPLEY MEDICAL GROUP is a gastroenterology internal medicine in Aurora, IL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. RUSH-COPLEY MEDICAL GROUP NPI is 1477831220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1256 WATERFORD DR
SUITE 120
AURORA, IL
ZIP 60504-510
Phone: (630) 820-4040
Fax: (630) 978-1240

The provider's authorized official is Marcee A Brummel .
The authorized official title is Executive Director and has the following contact phone number (630) 978-4915.

The enumeration date for this NPI number is 7/28/2011 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
1207R00000XInternal Medicine036076800ILLINOISNo
2207RG0100XInternal MedicineGastroenterology036076800ILLINOISYes

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
1036076800MEDICAIDILLINOIS

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

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