Healthcare Provider Details

I. General information

NPI: 1720933435
Provider Name (Legal Business Name): RUSH-SELECT HOLDINGS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E CENTRAL RD UNIT A-105
MT PROSPECT IL
60056-2681
US

IV. Provider business mailing address

4714 GETTYSBURG RD
MECHANICSBURG PA
17055-4325
US

V. Phone/Fax

Practice location:
  • Phone: 847-398-1775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN DUGGAN
Title or Position: DIRECTOR, REGULATORY AFFAIRS
Credential:
Phone: 717-972-1100