Internal Medicine at Rush

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE AT RUSH

Practice address

1611 W Harrison St
Suite 510
Chicago, IL 60612-4861

Phone

(312) 563-4060

NPI assigned

Aug 7, 2007

Last updated

Sep 23, 2010By the provider in NPPES

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

John Paulsen

Title

Director of Finance

Phone

(312) 942-7118

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Invalid Entry

Locations

Practitioners 3

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.

• Albene Kokocinski, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1053346221
  NPD
• Scott B Palmer, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1144245994
  NPD
• Gilberto Zavala, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1699700872
  NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1912198763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "SUITE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-563-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "SUITE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-563-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AT RUSH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "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 PPO",
            "identifier": "01637702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• International Consulting Group (Icg Assistive Technology Services)
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• International Consulting Group, Inc. (ICG Rehab Services)
• International Dental Center
• International Dental Center

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.