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NPI Code Detail

MEDICARE: RUSH UNIVERSITY MEDICAL GROUP

MEDICARE: RUSH UNIVERSITY MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist
2207KA0200XAllergy Physician
3207N00000XDermatology Physician
4207P00000XEmergency Medicine Physician
5207Q00000XFamily Medicine Physician
6207V00000XObstetrics & Gynecology Physician
7207Y00000XOtolaryngology Physician
8208000000XPediatrics Physician
9208100000XPhysical Medicine & Rehabilitation Physician
10208200000XPlastic Surgery Physician
112084N0400XNeurology Physician
122085R0202XDiagnostic Radiology Physician
13208600000XSurgery Physician
14208800000XUrology Physician
15207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101622355OTHERILBC GROUP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093819542
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUSH UNIVERSITY MEDICAL GROUP
Provider Business Mailing Address
First Line : 1700 W VAN BUREN ST
Second Line : SUITE 500
City : CHICAGO
State : IL
Zip : 60612-3218
Country : US
Telephone Number : 312-563-2875
Fax Number : 312-942-3012
Provider Business Practice Location Address
First Line : 1620 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3801
Country : US
Telephone Number : 312-942-5000
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : SCOTT A HALPER
Credential :
Telephone Number : 312-942-7770
Provider Enumeration Date : 09/12/2006
Last Update Date : 07/29/2025

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Directions to “RUSH UNIVERSITY MEDICAL GROUP ” Practice Location

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