RUSH UNIVERSITY MEDICAL CENTER (NPI# 1396148011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396148011 |
| Entity Type | Organization |
| Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Practice Address |
1725 W Harrison St Ste 809 Chicago IL 60612-3861 |
| Practice Telephone | 3129423468 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | AZISTI DEMBOWSKI (DIVISION ADMINISTRATOR) |
| Authorized Official Telephone | 3129423468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| 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 STE 809 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426513 | Michael John Jelinek | Internal Medicine | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2013-06-13 |
| 1942814934 | Elysa Bond | Genetic Counselor, MS | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2020-09-07 |
| 1043721830 | Jennifer Thompson | Genetic Counselor, MS | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2017-10-19 |
| 1013310739 | Maria Stone | Nurse Practitioner | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2014-10-08 |
| 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 | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407381197 | Northwestern Memorial Healthcare | Clinic/Center | 675 N Saint Clair St, Suite 21-100, Chicago, IL 60611-5975 | 2017-05-01 |
| 1609301753 | Robert H. Lurie Comprehensive Cancer Center of Northwestern University | Clinic/Center | 250 E Superior St, Suite 520, Chicago, IL 60611-2914 | 2017-04-26 |
| 1366815250 | Windy City Pediatrics | Clinic/Center | 3000 N Halsted St, Suite 825, Chicago, IL 60657-5188 | 2015-11-02 |
| 1538317458 | Andrea Karoff | Clinic/Center | 901 W Wellington Ave, Chicago, IL 60657-6708 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588016851 | Dupage Medical Group | Clinic/Center | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-07-11 |
| 1659721983 | Monica Anderson | Clinic/Center | 12004 S Route 59, Plainfield, IL 60585-5108 | 2016-06-17 |
| 1396019923 | Advanced Cancer Research, Ltd | Clinic/Center | 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 | 2012-02-29 |
| 1205164084 | Northwest Suburban Oncology and Hematology Associates S.c | Clinic/Center | 661 Ridgeview Dr, Mchenry, IL 60050-7012 | 2009-12-06 |
| 1023293776 | University Hematology Oncology Inc | Clinic/Center | 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 | 2007-12-31 |
| 1477740447 | University Hematology Oncology Group Inc | Clinic/Center | 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2355 | 2007-10-03 |
| 1548476971 | Midwest Physician Group Ltd. | Clinic/Center | 3900 W 203rd St, Olympia Fields, IL 60461-1183 | 2007-05-15 |
| 1699893248 | Sarah Bush Lincoln Health Center | Clinic/Center | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2007-03-26 |
| 1528107794 | North Shore Infusion Ltd | Clinic/Center | 1800 Sherman Ave, Ste 350, Evanston, IL 60201-3777 | 2007-02-05 |
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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.