NPIMap

Organization Active NPI

Rush University Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Downers Grove, IL
National Provider Identifier
1235224908
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-9210-0002-A Issued in IL
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Practice address
2001 Butterfield Rd
Suite 320
Downers Grove, IL 60515-1050
Phone
(312) 563-3623
Fax
(312) 563-3701
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mr. Carl L. Anderson, M.S.
Title
Executive Director
Phone
(312) 563-3593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-9210-0002-A IL Primary

Addresses

Primary practice location

2001 Butterfield Rd
Suite 320
Downers Grove, IL 60515-1050

Mailing address

2001 Butterfield Rd
Suite 320
Downers Grove, IL 60515-1050
Phone (131) 256-3362

Other identifiers 2

IdentifierTypeStateIssuer
2230317OtherILBLUE CROSS & BLUE SHIELD
1817OtherILBLUE CROSS BLUE SHIELD #

Other names 1

  • Rush Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University Anesthesiologists SC19 organizations share this tax ID, including this one
Part of
University Anesthesiologists SC

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

2001 Butterfield Rd
Ste 320
Downers Grove, IL 60515
Phone (312) 563-3623

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1235224908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 320",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "131-256-3362",
            "fax_number": "312-563-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 320",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "312-563-3623",
            "fax_number": "312-563-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-563-3593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-9210-0002-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "2230317",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "1817",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.