Active NPI
Rush University Medical Center
Doing business as University Rheumatologists
- Rheumatology Physician
- Chicago, IL
National Provider Identifier
1538187992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- RUSH UNIVERSITY MEDICAL CENTER
- Doing business as
- University Rheumatologists
- Practice address
- 1611 W Harrison St
Suite 510
Chicago, IL 60612-4861 - Phone
- (312) 563-2800
- Fax
- (312) 563-2075
- NPI assigned
- Jul 17, 2006
- Last updated
- Jan 16, 2013
- 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
- Authorized Official
- Phone
- (312) 942-6909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | NU | Primary |
Addresses
Primary practice location
1611 W Harrison St
Suite 510
Chicago, IL 60612-4861
Mailing address
1611 W Harrison St
Suite 510
Chicago, IL 60612-4861
Phone (312) 563-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01617829 | Other | IL | BC PPO |
Other names 1
- University Rheumatologists
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0931696 | University Rheumatologists | Provider-performed microscopy | Apr 3, 2028 |
National Provider Directory
National Provider Directory- Part of
- Invalid Entry
Locations
610 S Maple Ave
Ste 2550
Oak Park, IL 60304
Phone (708) 660-6100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1538187992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "312-563-2800",
"fax_number": "312-563-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "312-563-2800",
"fax_number": "312-563-2075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
"enumeration_date": "2006-07-17",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "312-942-6909"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PPO",
"identifier": "01617829",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Rheumatologists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Rush University Medical Center (Dermatology Patient Services)
- Rush University Medical Center (University Infectious Disease)
- Rush University Medical Center (Rush University Primary Care - Lincoln Park)
- Rush University Medical Center (Associates In Internal Medicine)
- Rush University Medical Center (Rush University Surgeons)
- Rush University Medical Center (Division of Hematology Oncology and Section of Medical Oncology)
- Rush University Medical Center (Consultants in Endocrinology)
- Rush University Medical Center (University Cardiovascular Surgeons)
- Rush University Medical Center (University Cardiologists)
- 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 Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.