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General NPI Number Information
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NPI Number | 1871541557
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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 | 05/04/2006
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 7000 W 111TH ST SUITE 210
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City | WORTH
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State | IL
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Zip | 60482-1851
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Country | US
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Telephone | 708-660-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 W 111TH ST SUITE 210
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City | WORTH
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State | IL
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Zip | 60482-1851
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Country | US
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Telephone | 708-660-3200
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | WILLIAM A SCHWER
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Credential | M.D.
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Telephone | 708-660-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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