NPIMap

Organization Active NPI

Rush University Medical Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1972630861
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
209-002424 Issued in IL
Legal business name
RUSH UNIVERSITY MEDICAL CENTER
Practice address
730 N Pulaski Rd
Room 109 Orr School Base Health Center
Chicago, IL 60624-1063
Phone
(773) 534-8924
Fax
(773) 534-8927
NPI assigned
Feb 27, 2007
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Marilyn Wideman, RN, DNP
Title
Director Faculty Practice/Outreach
Phone
(312) 942-7013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 209-002424 IL Primary

Addresses

Primary practice location

730 N Pulaski Rd
Room 109 Orr School Base Health Center
Chicago, IL 60624-1063

Mailing address

600 S Paulina St
Aaf Suite 1036
Chicago, IL 60612-3806
Phone (312) 942-5836

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

600 S Paulina St
Ste 1036
Chicago, IL 60612

730 N Pulaski Rd
Rm 109
Chicago, IL 60624
Phone (773) 534-8924

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1972630861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PAULINA ST",
            "address_2": "AAF SUITE 1036",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123806",
            "telephone_number": "312-942-5836",
            "fax_number": "312-942-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N PULASKI RD",
            "address_2": "ROOM 109 ORR SCHOOL BASE HEALTH CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241063",
            "telephone_number": "773-534-8924",
            "fax_number": "773-534-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DIRECTOR FACULTY PRACTICE/OUTREACH",
        "authorized_official_telephone_number": "312-942-7013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "209-002424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 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.