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RUSH-COPLEY MEDICAL GROUP NFP NPI 1639455173


NPI Information

NPI: 1639455173
Provider Name: RUSH-COPLEY MEDICAL GROUP NFP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2040 OGDEN AVE
SUITE 303
AURORA, IL
ZIP 60504
Phone: (630) 499-2329
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RUSH-COPLEY MEDICAL GROUP NFP is a family medicine in Aurora, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RUSH-COPLEY MEDICAL GROUP NFP NPI is 1639455173. 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 303
AURORA, IL
ZIP 60504-206
Phone: (630) 499-2329
Fax: (630) 898-5837

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 10/28/2011 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
1207Q00000XFamily Medicine036-115418ILLINOISYes
2207QA0000XFamily MedicineAdolescent Medicine036-115418ILLINOISNo
3207QA0505XFamily MedicineAdult Medicine036-115418ILLINOISNo

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
1036-115418MEDICAIDILLINOIS

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.