Rush Otolaryngology Head and Neck Surgery

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

RUSH OTOLARYNGOLOGY HEAD AND NECK SURGERY

Practice address

1611 W Harrison St
Suite 550
Chicago, IL 60612-4861

Phone

(312) 942-6100

Fax

(312) 942-6225

NPI assigned

Oct 21, 2006

Organization subpart

Yes

Parent organization

RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

David D Caldarelli, M.D.

Title

Authorized Official

Phone

(312) 942-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

University Anesthesiologists SC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica E Cherikos, CNP

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1275620718
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1124101548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "SUITE 550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-942-6100",
            "fax_number": "312-942-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "SUITE 550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-942-6100",
            "fax_number": "312-942-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OTOLARYNGOLOGY HEAD AND NECK SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2006-10-21",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CALDARELLI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PPO",
            "identifier": "01636656",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rush Health and Aging
• Rush Lab LLC
• Rush Medical Center
• Rush Medical Group
• Rush Oak Park Physicians Group Lake Street
• Rush Pediatric Surgeons
• Rush Physical Therapy
• Rush Presbyterian St. Lukes Medical Center
• Rush Presbyterian St. Lukes Medical Center
• Rush Presbyterian-St Lukes Med Ctr

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.