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General NPI Number Information
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NPI Number | 1821359449
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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 | 05/30/2012
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST SUITE 821
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City | CHICAGO
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State | IL
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Zip | 60612-3841
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Country | US
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Telephone | 312-942-5904
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST SUITE 821
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City | CHICAGO
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State | IL
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Zip | 60612-3841
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR - SECTION OF HEMATOLOGY
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Name | DR. PARAMESWAREN VENUGOPAL
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Credential | MD
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Telephone | 312-942-5904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 041.378791
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 209.009009
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License Number State | IL
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