Organization Active NPI

Rush Center for Congenital & Structural Heart Disease

  • Pediatric Cardiology Physician
  • Chicago, IL
National Provider Identifier
1538355136
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
RUSH CENTER FOR CONGENITAL & STRUCTURAL HEART DISEASE
Practice address
1653 W Congress Pkwy
708 Kellogg
Chicago, IL 60612-3833
Phone
(312) 942-6800
NPI assigned
Sep 18, 2007
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X IL Primary

Addresses

Primary practice location

1653 W Congress Pkwy
708 Kellogg
Chicago, IL 60612-3833

Mailing address

1653 W Congress Pkwy
770 Jones
Chicago, IL 60612-3833
Phone (312) 942-6800

Other identifiers 1

IdentifierTypeStateIssuer
01638445OtherILBC PIN

National Provider Directory

National Provider Directory
Part of
University Anesthesiologists SC

Locations

1653 W Congress Pkwy
#770
Chicago, IL 60612

1653 W Congress Pkwy
Ste 1064
Chicago, IL 60612

1653 W Congress Pkwy
Ste 708
Chicago, IL 60612

1653 W Congress Pkwy
Ste 7
Chicago, IL 60612

627 S Wood St
Chicago, IL 60612
Phone (312) 864-0391

1653 W Congress Pkwy
Ste 1090
Chicago, IL 60612

1800 McDonough Rd
Ste 203
Hoffman Estates, IL 60192
Phone (847) 608-7517

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1538355136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "770 JONES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-6800",
            "fax_number": "312-942-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "708 KELLOGG",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH CENTER FOR CONGENITAL & STRUCTURAL HEART DISEASE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-11-01",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PIN",
            "identifier": "01638445",
            "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 Nov 1, 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.