Rush Presbyterian St. Lukes Medical Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER

Practice address

1725 W Harrison St
Suite 818
Chicago, IL 60612-3841

Phone

(312) 942-6511

NPI assigned

May 8, 2006

Organization subpart

Yes

Parent organization

RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Brian T Smith

Title

Authorized Official

Phone

(312) 942-6909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CCH Surgical Affiliates Doing business as

Part of

University Anesthesiologists SC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rush Presbyterian St. Lukes Medical Center

  • Gynecologic Oncology Physician
  • Chicago, IL
  • NPI 1457312290
  NPPES parent name

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1023067154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 818",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 818",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-6909"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PPO",
            "identifier": "01623879",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCH Surgical Affiliates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rush Medical Group
• Rush Oak Park Physicians Group Lake Street
• Rush Otolaryngology Head and Neck Surgery
• Rush Pediatric Surgeons
• Rush Physical Therapy
• Rush Presbyterian St. Lukes Medical Center
• Rush Presbyterian-St Lukes Med Ctr
• Rush Specialty Hospital, LLC
• Rush Specialty Hospital, LLC
• Rush Surgicenter at the Professional Building LTD. Partnership

• All providers in Chicago, IL
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.