NPIMap

Organization Active NPI

Rush University Medical Center

Doing business as Rush Oak Brook

  • Internal Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1801375696
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Doing business as
Rush Oak Brook
Practice address
2011 York Road
2ND Floor
Oak Brook, IL 60523-1803
Phone
(630) 724-1310
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Denise N Szalko
Title
Vice President
Phone
(312) 942-5693

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X
Internal Medicine Physician 207R00000X Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X
Gastroenterology Physician 207RG0100X
Hepatology Physician 207RI0008X
Rheumatology Physician 207RR0500X
Neurological Surgery Physician 207T00000X
Obstetrics & Gynecology Physician 207V00000X
Otolaryngology Physician 207Y00000X
Plastic Surgery Physician 208200000X
Vascular Surgery Physician 2086S0129X
Surgical Oncology Physician 2086X0206X
Urology Physician 208800000X
Audiologist 231H00000X
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X

Addresses

Primary practice location

2011 York Road
2ND Floor
Oak Brook, IL 60523-1803

Mailing address

75 Remittance Drive
Suite 1611
Chicago, IL 60675-1611
Phone (312) 563-4577

Other names 1

  • Rush Oak Brook Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202000228 IL Part B Supplier - Clinic/Group Practice 5496658874 Receives reassigned benefits from 2,378 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Radiology Services3 organizations share this tax ID, including this one
Part of
Invalid Entry

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

1645 W Jackson Blvd
Ste 603
Chicago, IL 60612
Phone (312) 563-1579

1725 W Harrison St
Ste 118
Chicago, IL 60612
Phone (312) 942-4817

1725 W Harrison St
Ste 407
Chicago, IL 60612
Phone (312) 942-8060

Practitioners & affiliated clinicians

Practitioners 526

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 526

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1801375696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DRIVE",
            "address_2": "SUITE 1611",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751611",
            "telephone_number": "312-563-4577",
            "fax_number": "312-563-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 YORK ROAD",
            "address_2": "2ND FLOOR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231803",
            "telephone_number": "630-724-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "SZALKO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "312-942-5693"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Oak Brook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rush Oak Brook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.