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RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK NPI 1326318627


NPI Information

NPI: 1326318627
Provider Name: RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D1019179

Address:
7734 W NORTH AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (708) 456-6611
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RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK is a family medicine in Elmwood Park, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK NPI is 1326318627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7734 W NORTH AVE
ELMWOOD PARK, IL
ZIP 60707-124
Phone: (708) 456-6611

The provider's authorized official is Scott A Halper .
The authorized official title is Authorized Official and has the following contact phone number (312) 942-7770.

The CLIA number assigned to this NPI record is 14D1019179 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 10/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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