Active NPI
Rush-Copley Medical Group, NFP
- Obstetrics & Gynecology Physician
- Oswego, IL
National Provider Identifier
1508055351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- RUSH-COPLEY MEDICAL GROUP, NFP
- Practice address
- 4789 Route 71
Oswego, IL 60543-7415 - Phone
- (630) 978-6204
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcee Brummel
- Title
- Exective Director
- Phone
- (630) 978-4915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
4789 Route 71
Oswego, IL 60543-7415
Mailing address
1256 Waterford Dr Ste 230
Aurora, IL 60504-4511
Phone (630) 499-2404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 16
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-
- Otolaryngology/Facial Plastic Surgery Physician
- Yorkville, IL
- NPI 1528105723
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National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Yorkville, IL
- NPI 1881680361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1508055351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 WATERFORD DR STE 230",
"city": "AURORA",
"state": "IL",
"postal_code": "605044511",
"telephone_number": "630-499-2404",
"fax_number": "630-692-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4789 ROUTE 71",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437415",
"telephone_number": "630-978-6204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH-COPLEY MEDICAL GROUP, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "BRUMMEL",
"authorized_official_first_name": "MARCEE",
"authorized_official_title_or_position": "EXECTIVE DIRECTOR",
"authorized_official_telephone_number": "630-978-4915"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.