Organization Active NPI

Rush University Medical Center

  • Gynecologic Oncology Physician
  • Chicago, IL
National Provider Identifier
1881655702
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Practice address
1725 W Harrison St
Suite 842
Chicago, IL 60612-3841
Phone
(312) 942-6307
Fax
(312) 942-6300
NPI assigned
Mar 30, 2006
Organization subpart
Yes
Parent organization
RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Jacob Rotmensch, M.D.
Title
Delegated Official
Phone
(312) 942-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

1725 W Harrison St
Suite 842
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 842
Chicago, IL 60612-3841
Phone (312) 942-6300

Other identifiers 1

IdentifierTypeStateIssuer
01633443OtherILBC PPO

Other names 1

  • University Gynecological Oncology Associates Doing business as

National Provider Directory

National Provider Directory
Part of
University Anesthesiologists SC

Locations

5140 N California Ave
Ste 635645
Chicago, IL 60625
Phone (773) 989-6200

430 Pennsylvania Ave
Ste 300
Glen Ellyn, IL 60137
Phone (630) 432-6718

430 Pennsylvania Ave
Ste 340
Glen Ellyn, IL 60137
Phone (630) 545-3612

800 W Burrell Dr
Crown Point, IN 46307
Phone (219) 310-8828

9100 Columbia Ave
#A
Munster, IN 46321
Phone (219) 836-5040

Practitioners & affiliated clinicians

Practitioners 4

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": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1881655702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 842",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6300",
            "fax_number": "312-942-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 842",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6307",
            "fax_number": "312-942-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "ROTMENSCH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "312-942-6300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PPO",
            "identifier": "01633443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Gynecological Oncology Associates",
            "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 30, 2010; 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.