Organization Active NPI

Rush University Medical Center

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1720199011
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Practice address
230 W Monroe St
Suite 1925
Chicago, IL 60606-4703
Phone
(312) 942-3100
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
John Paulsen
Title
Authorized Official
Phone
(312) 942-7118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

230 W Monroe St
Suite 1925
Chicago, IL 60606-4703

Mailing address

230 W Monroe St
Suite 1925
Chicago, IL 60606-4703
Phone (312) 942-3100

Other identifiers 1

IdentifierTypeStateIssuer
01622000OtherILBC GROUP

Other names 1

  • Rush University Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
University Anesthesiologists SC

Locations

230 W Monroe St
Ste 1925
Chicago, IL 60606
Phone (312) 942-3100

500 W Madison St
Ste 400
Chicago, IL 60661
Phone (312) 551-1301

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1720199011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST",
            "address_2": "SUITE 1925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064703",
            "telephone_number": "312-942-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST",
            "address_2": "SUITE 1925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064703",
            "telephone_number": "312-942-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-7118"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "01622000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush University Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 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.