RUSH-COPLEY MEDICAL GROUP (NPI# 1376894501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376894501 |
| Entity Type | Organization |
| Organization Name | RUSH-COPLEY MEDICAL GROUP |
| Practice Address |
2040 Ogden Ave. Suite 304 Aurora IL 60504 |
| Mailing Address |
1256 Waterford Dr Ste 230 Aurora IL 60504-4511 |
| Practice Telephone | 6302364270 |
| Practice Fax Number | 6302364271 |
| Mailing Telephone | 6304992404 |
| Mailing Fax Number | 6306925518 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | MARCEE A BRUMMEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6304992404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-112492 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093815482 | Rush-copley Medical Group | Internal Medicine | 1100 Veterans Pkwy, Suite 300, Yorkville, IL 60560 | 2006-09-25 |
| 1982974689 | Rush-copley Medical Group | Pediatrics | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2012-01-11 |
| 1841579893 | Rush-copley Medical Group | Internal Medicine | 1100 W Veterans Pkwy, Suite 200, Yorkville, IL 60560-4728 | 2011-08-09 |
| 1477831220 | Rush-copley Medical Group | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 | 2011-07-28 |
| 1659666907 | Rush-copley Medical Group | Specialist | 2088 Ogden Ave, Suite 270, Aurora, IL 60504-4376 | 2011-06-15 |
| 1679745293 | Rush-copley Medical Group | Neurological Surgery | 2040 Ogden Ave, Ste 30, Aurora, IL 60504-7222 | 2008-03-25 |
| 1629265764 | Rush-copley Medical Group | Family Medicine | 4789 Route 71, Oswego, IL 60543 | 2007-10-03 |
| 1003019548 | Rush-copley Medical Group | Internal Medicine | 2040 Ogden Ave, Ste 217, Aurora, IL 60504-7206 | 2007-06-11 |
| 1528105723 | Rush-copley Medical Group | Allergy & Immunology | 1100 Veterans Pkwy, Suite 310, Yorkville, IL 60560-1366 | 2007-01-30 |
| 1750482089 | Rush-copley Medical Group | Family Medicine | 2020 Ogden Avenue, Suite 120, Aurora, IL 60504 | 2006-09-26 |
| Street Address |
2040 OGDEN AVE. SUITE 304 |
| City | AURORA |
| State | IL |
| Zip Code | 60504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1851673081 | Ronald Craig Miller | Pharmacist | 1857 Foxfield Dr., Apt 2, Aurora, IL 60504 | 2011-09-14 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730720251 | Benjamin John Kakallis | Physical Medicine & Rehabilitation | 24300 E Smoky Hill Rd, Aurora, CO 80016-1387 | 2019-10-06 |
| 1790831394 | Marshall Brian Emig | Physical Medicine & Rehabilitation | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900409 | Michael Reavy | Physical Medicine & Rehabilitation | 90 Skokie Blvd, Wilmette, IL 60091-3054 | 2020-10-25 |
| 1750947586 | Kaitlyn Maloney | Physical Medicine & Rehabilitation | 125 Jan Ln Apt 2, De Soto, IL 62924-0045 | 2019-05-16 |
| 1134688294 | Ashraf Ali Elkossei | Physical Medicine & Rehabilitation | 9215 S Tripp Ave, Oak Lawn, IL 60453-1938 | 2019-03-18 |
| 1457854119 | Arielle Willett | Physical Medicine & Rehabilitation | 505 Washington Blvd, Oak Park, IL 60302-4005 | 2018-03-08 |
| 1205228475 | Elizabeth Palagi | Physical Medicine & Rehabilitation | 16825 Shannon Ct, Tinley Park, IL 60477-6551 | 2015-02-25 |
| 1780003178 | Paula Weihler Sc | Physical Medicine & Rehabilitation | 129 Commercial Dr, Unit 5b, Yorkville, IL 60560-4729 | 2014-04-14 |
| 1598920977 | Prescriptive Wellness LLC | Physical Medicine & Rehabilitation | 3330 W 177th St Ste 3f, Hazel Crest, IL 60429-2197 | 2008-07-24 |
| 1639356488 | Ukpenahiusi S Ighodaro | Physical Medicine & Rehabilitation | 231 W Main St Ste 101, Carpentersville, IL 60110-1772 | 2008-01-23 |
| 1619057338 | Charles Lawrence Carlton | Physical Medicine & Rehabilitation | 6007 N Sheridan Rd Apt 20a, Chicago, IL 60660-3005 | 2006-10-17 |
| 1932142973 | Philip H Dennis | Physical Medicine & Rehabilitation | 441 S State Route 157 Ste 102, Edwardsville, IL 62025-4017 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
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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.