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General NPI Number Information
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NPI Number | 1285363663
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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 | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 1620 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3801
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Country | US
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Telephone | 312-942-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1454 W RANDOLPH ST APT 322
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City | CHICAGO
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State | IL
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Zip | 60607-1427
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Country | US
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Telephone | 508-868-8727
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Fax |
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Authorized Official
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Title or Position | UROLOGY RESIDENT
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Name | DR. MORGAN RILEY STURGIS
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Credential | MD
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Telephone | 508-868-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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