Active NPI
Rush University Medical Center
Doing business as Gynecological Care Group
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1154382893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2012
- 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
- Vice President/Authorized Official
- Phone
- (312) 942-6909
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- Rush University Medical Center (Consultants in Hematology)
- Rush University Medical Center
- Rush University Medical Center (Rush University Critical Care Specialist)
- Rush University Medical Center (University Gastroenterologists)
- Rush University Medical Center (Rush University Primary Care)
- Rush University Medical Center
- Rush University Medical Center (Radiology Services)
- Rush University Medical Center
- Rush University Medical Center (Rush University Hypertension 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 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.