Provider Demographics
NPI:1871541557
Name:RUSH UNIVERSITY MEDICAL CENTER
Entity type:Organization
Organization Name:RUSH UNIVERSITY MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-660-3200
Mailing Address - Street 1:7000 W 111TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60482-1851
Mailing Address - Country:US
Mailing Address - Phone:708-660-3200
Mailing Address - Fax:
Practice Address - Street 1:7000 W 111TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WORTH
Practice Address - State:IL
Practice Address - Zip Code:60482-1851
Practice Address - Country:US
Practice Address - Phone:708-660-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUSH UNIVERSITY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-04
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty