NPIMap

Organization Active NPI

Rush University Medical Center

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1306203583
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
070.021807 Issued in IL
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Practice address
4536 N Greenview Ave Apt 2N
Chicago, IL 60640-5475
Phone
(630) 726-0003
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Jason Shipbaugh, PT, DPT
Title
Physical Therapist
Phone
(630) 726-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 070.021807 IL Primary

Addresses

Primary practice location

4536 N Greenview Ave Apt 2N
Chicago, IL 60640-5475

Mailing address

4536 N Greenview Ave Apt 2N
Chicago, IL 60640-5475
Phone (630) 726-0003

Other identifiers 1

IdentifierTypeStateIssuer
070.021807OtherILSTATE OF ILINOIS

National Provider Directory

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

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1306203583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 N GREENVIEW AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405475",
            "telephone_number": "630-726-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 N GREENVIEW AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405475",
            "telephone_number": "630-726-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SHIPBAUGH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-726-0003",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "070.021807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILINOIS",
            "identifier": "070.021807",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 19, 2016; 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.