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General NPI Number Information
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NPI Number | 1013082338
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Entity Type | Organization
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Legal Business Name | RUSH UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1653 W CONGRESS PKWY ROOM 1188-JELKE
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City | CHICAGO
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State | IL
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Zip | 60612-3833
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Country | US
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Telephone | 312-942-2054
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Fax |
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Provider Business Mailing Address
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Address Line | 1653 W CONGRESS PKWY ROOM 1188-JELKE
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City | CHICAGO
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State | IL
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Zip | 60612-3833
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Country | US
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Telephone | 312-942-2054
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Fax |
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Authorized Official
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Title or Position | DIRECTOR HLA LABORATORY
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Name | DR. ANDRES JARAMILLO
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Credential | PH.D., HCLD(ABB)
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Telephone | 312-942-2054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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