NPIMap

Organization Active NPI

Rush University Medical Center

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1013082338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Practice address
1653 W Congress Pkwy
Room 1188-Jelke
Chicago, IL 60612-3833
Phone
(312) 942-2054
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andres Jaramillo, PH.D., HCLD(ABB)
Title
Director Hla Laboratory
Phone
(312) 942-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1653 W Congress Pkwy
Room 1188-Jelke
Chicago, IL 60612-3833

Mailing address

1653 W Congress Pkwy
Room 1188-Jelke
Chicago, IL 60612-3833
Phone (312) 942-2054

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0696069Rush University Medical Center1653 W Congress Parkway - Rom 532 Jelke, Chicago, IL 60612AccreditationJul 26, 2027
14D2133572Rush Univ Med Ctr - 7TH Floor Kellogg1653 W Congress Parkway, Chicago, IL 60612Provider-performed microscopyJul 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
University Anesthesiologists SC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1653 W Congress Pkwy
Rm 1188JELKE
Chicago, IL 60612
Phone (312) 942-2054

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013082338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "ROOM 1188-JELKE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "ROOM 1188-JELKE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "DIRECTOR HLA LABORATORY",
        "authorized_official_telephone_number": "312-942-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., HCLD(ABB)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.