RUSH UNIVERSITY MEDICAL CENTER (NPI# 1962762047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962762047 |
| Entity Type | Organization |
| Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Other Organization Name | RUSH HEALTH CENTER AT SIMPSON ACADEMY |
| Practice Address |
1321 S Paulina St Chicago IL 60608-1221 |
| Practice Telephone | 7735347202 |
| Practice Fax Number | 3126667371 |
| Mailing Telephone | 7735347202 |
| Mailing Fax Number | 3126667371 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | BRIAN T SMITH (VICE PRESIDENT) |
| Authorized Official Telephone | 3129426909 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rush Health Center at Simpson Academy | 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 |
| 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 |
| 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 |
1321 S PAULINA ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350722 | Katherine Dato | Nurse Practitioner | 1321 S Paulina St, Chicago, IL 60608-1221 | 2019-08-08 |
| 1720411135 | College of Nursing Faculty Practice | Clinic/Center | 1321 S Paulina St, Rm 109, Chicago, IL 60608-1221 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| 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.