Rush Pediatric Surgeons

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

RUSH PEDIATRIC SURGEONS

Practice address

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

Phone

(312) 942-5397

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Richard Prinz, M.D.

Title

Authorized Official

Phone

(312) 942-5397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124076526",
    "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": "312-942-5397"
        },
        {
            "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": "312-942-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH PEDIATRIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-5397",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rush Lab LLC
• Rush Medical Center
• Rush Medical Group
• Rush Oak Park Physicians Group Lake Street
• Rush Otolaryngology Head and Neck Surgery
• Rush Physical Therapy
• Rush Presbyterian St. Lukes Medical Center
• Rush Presbyterian St. Lukes Medical Center
• Rush Presbyterian-St Lukes Med Ctr
• Rush Specialty Hospital, LLC

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.