Rush Pres St. Luke'S Med Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RUSH PRES ST. LUKE'S MED CENTER

Practice address

4711 Golf Rd Ste 711
Skokie, IL 60076-1245

Phone

(847) 568-9911

Fax

(847) 568-9912

NPI assigned

Mar 23, 2007

Organization subpart

Yes

Parent organization

RUSH PRES ST. LUKE'S MED CENTERAs reported in NPPES

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

Authorized official

Name

Michael D Tharp, MD

Title

Director

Phone

(312) 942-5000

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Patient Services Doing business as

Part of

University Anesthesiologists SC

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1154448355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 711",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761245",
            "telephone_number": "847-568-9911",
            "fax_number": "847-568-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 711",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761245",
            "telephone_number": "847-568-9911",
            "fax_number": "847-568-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH PRES ST. LUKE'S MED CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH PRES ST. LUKE'S MED CENTER",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "THARP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-942-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Patient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine K Ruhl, M.D.
• Crystal Ruiz
• Rush Neurobehavioral Center
• Rush North Shore Medical Center
• Rush North Shore Pain Center
• Rush University Medical Center
• Matthew Russell, PHD
• Jean A. Russo, CPNP
• Alla Rybak, APN-CNP
• Laura Rycraft, PHARMD.

• Dermatology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.