Active NPI
Rush Center for Congenital & Structural Heart Disease
- Pediatric Cardiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- 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 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pediatric Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01638445 | Other | IL | BC 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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1801806351
-
- Pediatric Cardiology Physician
- Chicago, IL
- NPI 1124180013
-
- Pediatric Cardiology Physician
- San Diego, CA
- NPI 1194783910
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.