Rush University Medical Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RUSH UNIVERSITY MEDICAL CENTER

Practice address

1725 W Harrison St
Suite 717
Chicago, IL 60612-3841

Phone

(312) 563-3269

Fax

(312) 563-3272

NPI assigned

Sep 12, 2006

Organization subpart

Yes

Parent organization

RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Peter M Jokich, M.D.

Title

Authorized Official

Phone

(312) 563-3269

Specialties & licenses 1

Addresses

Other names 1

• Rush Breast Imaging Center Doing business as

Part of

University Anesthesiologists SC

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1891899522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 717",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-3269",
            "fax_number": "312-563-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 717",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-3269",
            "fax_number": "312-563-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "JOKICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-563-3269",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Breast Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center
• Rush University Medical Center

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.