MEDICARE: RUSH UNIVERSITY

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	282N00000X	General Acute Care Hospital		IL

General Provider Information

NPI Number	:	1841446432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUSH UNIVERSITY

Provider Business Mailing Address
First Line	:	233 E 13TH STREET #503
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-3239
Country	:	US
Telephone Number	:	312-265-0446
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 E 13TH STREET #503
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-3239
Country	:	US
Telephone Number	:	312-265-0446
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT
Name	:	MISS DEEPA ARLA
Credential	:	D.O
Telephone Number	:	502-418-9028

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/14/2008

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Directions to “RUSH UNIVERSITY ” Practice Location

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