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General NPI Number Information
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NPI Number | 1760794416
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Entity Type | Organization
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Legal Business Name | RUSH UNIVERSITY UROLOGY
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST STE 970
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City | CHICAGO
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State | IL
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Zip | 60612-3828
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Country | US
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Telephone | 312-563-3447
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Fax | 312-563-3721
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST STE 970
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City | CHICAGO
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State | IL
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Zip | 60612-3828
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Country | US
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Telephone | 312-563-3447
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Fax | 312-563-3721
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DENISE N SZALKO
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Credential |
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Telephone | 312-942-5693
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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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