RUSH UNIVERSITY MEDICAL CENTER (NPI# 1942386008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942386008 |
| Entity Type | Organization |
| Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Other Organization Name | UNIVERSITY CONSULTANTS IN ALLERGY & IMMUNOLOGY |
| Practice Address |
1725 W Harrison St Suite 117 Chicago IL 60612-3841 |
| Practice Telephone | 3129426296 |
| Mailing Telephone | 3129426296 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MARY C TOBIN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3129426296 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC GROUP | 01616229 | 01 |
| Other Name | Type Code |
|---|---|
| University Consultants in Allergy & Immunology | 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 |
| 1184269425 | Rush University Medical Center | Radiology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2019-11-11 |
| 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 |
| 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 |
1725 W HARRISON ST SUITE 117 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446163 | Alvaro A Figueroa | Dentist | 1725 W Harrison St, Ste 425, Chicago, IL 60612-3836 | 2005-06-09 |
| 1487251096 | Katherine Frigo | Registered Nurse | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-10-06 |
| 1568085413 | Jaime Rizzie | Dietitian, Registered | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-05-27 |
| 1710507025 | Peter Wu | Pharmacist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-04-16 |
| 1316419047 | Lauren G Markham | Social Worker | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-12-19 |
| 1366917759 | Anan Hani Shtewe | Neurological Surgery | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-10-11 |
| 1679057087 | Colleen Tapia | Nurse Practitioner | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-09-20 |
| 1316435035 | Charalampos Siotos | Plastic Surgery | 1725 W Harrison St, Suite 425, Chicago, IL 60612 | 2018-04-27 |
| 1427555937 | Brooke Harrar | Physical Therapist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-04-11 |
| 1356859250 | Esther Kim | Specialist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-01-14 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1548572670 | Payal Dilip Patel | Allergy & Immunology | 1411 S Michigan Ave, Chicago, IL 60605 | 2010-07-06 |
| 1902117302 | David Aaron Nayak | Allergy & Immunology | 530 N Lake Shore Dr, Apt 807, Chicago, IL 60611-7424 | 2010-06-30 |
| 1821246646 | Abhilasha Ganju | Allergy & Immunology | 1286 N Milwaukee Ave # 205, Chicago, IL 60642-2219 | 2008-09-04 |
| 1891956090 | Michael Rosenberg | Allergy & Immunology | 150 W Superior St, Unit 1101, Chicago, IL 60610-8710 | 2008-06-19 |
| 1265502231 | Bienvenido Tecson Lamorena | Allergy & Immunology | 5356 W Diversey Ave, Chicago, IL 60639-1513 | 2006-11-08 |
| 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.