Active NPI
Rush University Medical Center
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1093929002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RUSH UNIVERSITY MEDICAL CENTER
- Practice address
- 1653 W Congress Pkwy
622 Murdock
Chicago, IL 60612-3833 - Phone
- (312) 942-7154
- NPI assigned
- May 9, 2007
- Organization subpart
- Yes
- Parent organization
- RUSH UNIVERSITY MEDICAL CENTER
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | ||
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
1653 W Congress Pkwy
622 Murdock
Chicago, IL 60612-3833
Mailing address
1653 W Congress Pkwy
622 Murdock
Chicago, IL 60612-3833
Phone (312) 942-7154
Other names 1
- Rush University Primary Care
National Provider Directory
National Provider Directory- Part of
- University Anesthesiologists SC
Locations
1300 W Belmont Ave
#100
Chicago, IL 60657
Phone (773) 975-8900
1650 W Harrison St
#430
Chicago, IL 60612
Phone (312) 942-5800
1700 W Van Buren St
Ste 500
Chicago, IL 60612
Phone (312) 563-2875
1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Barrington, IL
- NPI 1558050724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402876800000",
"number": "1093929002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"address_2": "622 MURDOCK",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-942-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"address_2": "622 MURDOCK",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-942-7154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
"enumeration_date": "2007-05-09",
"last_updated": "2014-06-16",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rush University Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Rush University Internal Medicine - West Loop
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.