RUSH UNIVERSITY MEDICAL CENTER (NPI# 1184269425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184269425 |
| Entity Type | Organization |
| Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Practice Address |
1620 W Harrison St Chicago IL 60612-3801 |
| Mailing Address |
75 Remittance Dr. Suite 1611 Chicago IL 60675-1611 |
| Practice Telephone | 3125634270 |
| Mailing Telephone | 3125634577 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | DENISE N SZALKO (VICE PRESIDENT) |
| Authorized Official Telephone | 3129425693 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Radiology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| 1962762047 | Rush University Medical Center | Clinic/Center | 1321 S Paulina St, Chicago, IL 60608-1221 | 2012-05-22 |
| 1093036980 | Rush University Medical Center | Chronic Disease Hospital | 1615 Sea Breeze Ct, Munster, IN 46321-5106 | 2010-06-15 |
| 1598921991 | Rush University Medical Center | General Acute Care Hospital | 1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227 | 2008-08-05 |
| 1396906103 | Rush University Medical Center | Clinic/Center | 2245 W Jackson Blvd, Chicago, IL 60612-2910 | 2008-06-24 |
| 1972630861 | Rush University Medical Center | Clinic/Center | 730 N Pulaski Rd, Room 109 Orr School Base Health Center, Chicago, IL 60624-1063 | 2007-02-27 |
| 1396755096 | Rush University Medical Center | Dermatology | 6319 Fairview Ave, Suite 102, Westmont, IL 60559-2888 | 2006-08-08 |
| 1619518396 | Rush University Medical Center | Internal Medicine | 520 S. Maple Ave, 3 West, Oak Park, IL 60304-1022 | 2019-10-03 |
| 1801375696 | Rush University Medical Center | Dermatology | 2011 York Road, 2nd Floor, Oak Brook, IL 60523-1803 | 2018-08-13 |
| 1689165540 | Rush University Medical Center | Dermatology | 1411 S Michigan Ave, Chicago, IL 60605-2810 | 2018-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RUSH UNIVERSITY MEDICAL CENTER | 600 S Paulina St, Aac 1020, Chicago, IL 60612-3806 |
| Colorado Business Entities | RUSH UNIVERSITY MEDICAL CENTER | 1201 Harrison St., Chicago, IL 60607 |
| Indiana Business Entities | RUSH UNIVERSITY MEDICAL CENTER | 1653 W Congress Pkwy, Chicago, IL 60612 |
| Indiana Business Entities | RUSH UNIVERSITY MEDICAL CENTER INC. | 5612 W 79th St, Burbank, IL 60459 |
| Street Address |
1620 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376606491 | Pallavi P. Patwari | Pediatrics | 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 | 2006-12-19 |
| 1619574274 | Yejide Awolola | Registered Nurse | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-10-07 |
| 1922614635 | Gregory Martin Kasson | Nurse Anesthetist, Certified Registered | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-09-17 |
| 1124639398 | Rocio Naomi Bautista Sanchez | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-08-12 |
| 1912516667 | Raymond Vincent Garay | Nurse Practitioner | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-07-29 |
| 1407473218 | Milan Patel | Podiatrist | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-26 |
| 1326664491 | Cameron Calloway | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-24 |
| 1750907044 | Kirk Lydell Mccall II | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-22 |
| 1912523655 | Nikitaa Nath | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-18 |
| 1306461355 | Ashwin N Reddi | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.