MEDICARE: MRS. RUSHELLE J CYRUS MEDICAL DOCTOR

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
1	207V00000X	Obstetrics & Gynecology Physician	0000039386	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33327081	OTHER	TN	MEDICARE

General Provider Information

NPI Number	:	1659441996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUSHELLE J CYRUS MEDICAL DOCTOR

Provider Business Mailing Address
First Line	:	540 LAKE COOK RD STE 300
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5602
Country	:	US
Telephone Number	:	800-252-2021
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 LAKE COOK RD STE 300
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5602
Country	:	US
Telephone Number	:	800-252-2021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	08/07/2025

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