RUSH UNIVERSITY MEDICAL CENTER NPI 1154382893

NPI Details

RUSH UNIVERSITY MEDICAL CENTER is an obstetrics gynecology in Chicago, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RUSH UNIVERSITY MEDICAL CENTER NPI is 1154382893. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gynecological Care Group.

The provider's business location address is:

1645 W JACKSON BLVD
SUITE 310
CHICAGO, IL
ZIP 60612-276
Phone: (312) 942-8060

The provider's authorized official is Brian T Smith .
The authorized official title is Vice President/authorized Official and has the following contact phone number (312) 942-6909.

The CLIA number assigned to this NPI record is 14D0987986 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/31/2006 and was last updated on 5/7/2012.

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: