Organization Active NPI

Rush University Medical Center

Doing business as Gynecological Care Group

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1154382893
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Doing business as
Gynecological Care Group
Practice address
1645 W Jackson Blvd
Suite 310
Chicago, IL 60612-3276
Phone
(312) 942-8060
NPI assigned
Mar 31, 2006
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Brian T Smith
Title
Vice President/Authorized Official
Phone
(312) 942-6909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Maternal & Fetal Medicine Physician 207VM0101X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1645 W Jackson Blvd
Suite 310
Chicago, IL 60612-3276

Mailing address

1645 W Jackson Blvd
Suite 310
Chicago, IL 60612-3276
Phone (312) 942-8060

Other names 1

  • Gynecological Care Group Doing business as

National Provider Directory

National Provider Directory
Part of
Invalid Entry

Locations

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

2835 N Sheffield Ave
Fl 5
Chicago, IL 60657
Phone (312) 912-1033

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1154382893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-6909"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gynecological Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.