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RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LTD. PARTNERSHIP NPI 1619013455


NPI Information

NPI: 1619013455
Provider Name: RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LTD. PARTNERSHIP

Doing Business As: RUSH SURGICENTER LTD. PARTNERSHIP

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0984464

Address:
1725 W HARRISON ST
SUITE #556
CHICAGO, IL
ZIP 60612
Phone: (312) 563-2880
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RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LTD. PARTNERSHIP is an ambulatory surgical clinic center in Chicago, IL. RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LTD. PARTNERSHIP NPI is 1619013455. The provider is registered as an organization entity type.
The provider Is Doing Business As Rush Surgicenter Ltd. Partnership.

The provider's business location address is:

1725 W HARRISON ST
SUITE #556
CHICAGO, IL
ZIP 60612-841
Phone: (312) 563-2880
Fax: (312) 563-4538

The provider's authorized official is Margaret Avila .
The authorized official title is Finance Director and has the following contact phone number (312) 563-2891.

The CLIA number assigned to this NPI record is 14D0984464 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical1712956ILLINOISYes

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.