NPIMap

Organization Active NPI

Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1093075848
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUSH-COPLEY MEDICAL GROUP, NFP
Practice address
2972 Indian Trail Rd Ste a
Aurora, IL 60502-9408
Phone
(630) 499-0812
NPI assigned
May 25, 2012
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Marcee A Brummel
Title
Executive Director
Phone
(630) 978-4915

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Gastroenterology Physician 207RG0100X NU
Hematology & Oncology Physician 207RH0003X NU
Pulmonary Disease Physician 207RP1001X NU
Sports Medicine (Internal Medicine) Physician 207RS0010X NU
Neurological Surgery Physician 207T00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Otolaryngology Physician 207Y00000X NU
Pediatrics Physician 208000000X NU
Plastic Surgery Physician 208200000X 036-079730 IL
Surgery Physician 208600000X 036-102434 IL
Urology Physician 208800000X NU

Addresses

Primary practice location

2972 Indian Trail Rd Ste a
Aurora, IL 60502-9408

Mailing address

1256 Waterford Dr Ste 230
Aurora, IL 60504-4511
Phone (630) 499-2404

Other practice location 1

2040 Ogden Ave Ste 115
Aurora, IL 60504-7205
Phone (630) 585-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001029 IL Part B Supplier - Clinic/Group Practice 7618864877 Receives reassigned benefits from 188 practitioners
26 other NPIs on this enrollment
Practice locations: Aurora, IL; Naperville, IL; North Aurora, IL; Oswego, IL; Plainfield, IL; Sugar Grove, IL; Yorkville, IL

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

1900 Ogden Ave
Ste 108
Aurora, IL 60504
Phone (630) 236-4323

2020 Ogden Ave
Ste 260
Aurora, IL 60504
Phone (630) 898-6409

2020 Ogden Ave
Ste 335
Aurora, IL 60504
Phone (630) 236-4303

2020 Ogden Ave
Ste 360
Aurora, IL 60504
Phone (630) 585-3100

2040 Ogden Ave
#270
Aurora, IL 60504
Phone (630) 978-4889

2040 Ogden Ave
Ste 107
Aurora, IL 60504
Phone (630) 692-5700

2040 Ogden Ave
Ste 111
Aurora, IL 60504
Phone (630) 978-4800

2040 Ogden Ave
Ste 217
Aurora, IL 60504
Phone (630) 499-4721

2060 Ogden Ave
Ste C
Aurora, IL 60504
Phone (630) 898-5969

2088 Ogden Ave
Ste 100
Aurora, IL 60504
Phone (630) 518-3525

2088 Ogden Ave
Ste 270
Aurora, IL 60504
Phone (630) 978-4889

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

60 N Island Ave
Batavia, IL 60510
Phone (630) 761-1600

1725 W Harrison St
Ste 1115
Chicago, IL 60612
Phone (312) 563-4829

1012 95th St
Ste 1
Naperville, IL 60564
Phone (630) 236-4315

2195 W Diehl Rd
Naperville, IL 60563
Phone (630) 236-4323

1100 W Veterans Pkwy
#210
Yorkville, IL 60560
Phone (630) 978-6806

1100 W Veterans Pkwy
#300
Yorkville, IL 60560
Phone (630) 978-6250

1100 W Veterans Pkwy
#370
Yorkville, IL 60560
Phone (630) 820-4040

1100 W Veterans Pkwy
Ste 300
Yorkville, IL 60560
Phone (630) 978-6250

507 W Kendall Dr
Ste 10
Yorkville, IL 60560
Phone (630) 553-6000

507 W Kendall Dr
Ste 8
Yorkville, IL 60560
Phone (630) 236-4270

507 W Kendall Dr
Ste 9
Yorkville, IL 60560
Phone (630) 978-6250

Practitioners & affiliated clinicians

Practitioners 216

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 216

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1093075848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DR STE 230",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044511",
            "telephone_number": "630-499-2404",
            "fax_number": "630-692-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 INDIAN TRAIL RD STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029408",
            "telephone_number": "630-499-0812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Ogden Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605047205",
            "country_code": "US",
            "telephone_number": "630-585-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSH-COPLEY MEDICAL GROUP, NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BRUMMEL",
        "authorized_official_first_name": "MARCEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-978-4915"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-079730",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-102434",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.