RUSH-COPLEY MEDICAL GROUP (NPI# 1629265764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629265764 |
| Entity Type | Organization |
| Organization Name | RUSH-COPLEY MEDICAL GROUP |
| Practice Address |
4789 Route 71 Oswego IL 60543 |
| Mailing Address |
1256 Waterford Dr Ste 230 Aurora IL 60504-4511 |
| Practice Telephone | 6309786204 |
| Practice Fax Number | 6304992399 |
| Mailing Telephone | 6304992404 |
| Mailing Fax Number | 6306925518 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | MARCEE BRUMMEL (EXEC. DIRECTOR) |
| Authorized Official Telephone | 6309784915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
036-040569 | IL | Ambulatory Health Care Facilities |
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 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 |
| 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 |
4789 ROUTE 71 |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1710508973 | Nicole Ann Hohman | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2020-04-29 |
| 1083126619 | Adam Estrada | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2017-11-05 |
| 1306366794 | Christine Elizabeth Kowalewski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543 | 2017-06-26 |
| 1922533397 | Kristen Joanne Olszewski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2017-04-24 |
| 1083076798 | Kyla Phu | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2016-03-22 |
| 1477952729 | Nicole Therese Marks | Registered Nurse | 4789 Route 71, Oswego, IL 60543-7415 | 2014-08-21 |
| 1427485945 | Jaclynn A Jackubowski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2013-09-29 |
| 1497020234 | Virginia Katherine House Hathcock | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2012-03-13 |
| 1316214240 | Nicole Christine Keller | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2011-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526098 | Young H Kim Md Faap | Pediatrics | 50 W Utica St, Oswego, NY 13126-3053 | 2012-04-10 |
| 1821238346 | Kwakbear P.C. | Pediatrics | 5011 Carpenter Ave, Oswego, IL 60543-8027 | 2009-02-23 |
| 1457445512 | Young Hee Kim | Pediatrics | 50 West Utica St, Oswego, NY 13126 | 2006-10-03 |
| 1841309945 | Elie R Gonzales Md | Pediatrics | 38 Erie St, Oswego, NY 13126-3803 | 2006-08-30 |
| 1396792404 | Shashikant G Bhopale | Pediatrics | 33 E 1st St, Oswego, NY 13126-1112 | 2006-05-27 |
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1205893419 | James Lee Webb | Pediatrics | 4509 Route 71, Oswego, IL 60543-7416 | 2006-05-01 |
| 1184086381 | Nicole Phelps | Pediatrics | 80 Templeton Dr, Oswego, IL 60543 | 2016-03-26 |
| 1316214240 | Nicole Christine Keller | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2011-11-21 |
| 1245402932 | Karen J. Chorvat | Pediatrics | 80 Templeton Dr, Oswego, IL 60543-7000 | 2008-04-02 |
| Find all providers in OSWEGO | ||||
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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.