Healthcare Provider Details

I. General information

NPI: 1710293329
Provider Name (Legal Business Name): RUSH COPLEY CARDIOVASCULAR CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2088 OGDEN AVE SUITE 160
AURORA IL
60504-4376
US

IV. Provider business mailing address

2000 OGDEN AVE
AURORA IL
60504-7222
US

V. Phone/Fax

Practice location:
  • Phone: 630-851-6440
  • Fax: 630-851-7001
Mailing address:
  • Phone: 630-978-4976
  • Fax: 630-978-6888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: BARRY C FINN
Title or Position: PRESIDENT
Credential:
Phone: 630-978-4976