Healthcare Provider Details

I. General information

NPI: 1326140583
Provider Name (Legal Business Name): RUSH UNIVERSITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1653 W CONGRESS PKWY
CHICAGO IL
60612-3833
US

IV. Provider business mailing address

1700 W VAN BUREN ST SUITE 291
CHICAGO IL
60612-3218
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-5000
  • Fax: 312-942-2055
Mailing address:
  • Phone: 312-563-4410
  • Fax: 312-942-5818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number000001917
License Number StateIL

VIII. Authorized Official

Name: MR. KEVIN SHAUGHNESSY
Title or Position: ASST VICE PRESIDENT - REIMBURSEMENT
Credential:
Phone: 312-563-4410