Active NPI
Rush University Medical Center
Doing business as University Radiation Medicine
- Radiation Oncology Physician
- Chicago, IL
National Provider Identifier
1992771117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RUSH UNIVERSITY MEDICAL CENTER
- Doing business as
- University Radiation Medicine
- Practice address
- 520 S Paulina St
Chicago, IL 60612-3804 - Phone
- (312) 942-5751
- NPI assigned
- Feb 27, 2006
- Last updated
- Oct 4, 2013
- Organization subpart
- Yes
- Parent organization
- RUSH UNIVERSITY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian T Smith
- Title
- Authorized Official
- Phone
- (312) 942-6909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
520 S Paulina St
Chicago, IL 60612-3804
Mailing address
520 S Paulina St
Chicago, IL 60612-3804
Phone (312) 942-5751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01620122 | Other | IL | BLUE CROSS PPO |
Other names 1
- University Radiation Medicine
National Provider Directory
National Provider Directory- Part of
- Invalid Entry
Locations
520 S Paulina St
Chicago, IL 60612
Phone (312) 942-0712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380844800000",
"number": "1992771117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123804",
"telephone_number": "312-942-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123804",
"telephone_number": "312-942-5751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
"enumeration_date": "2006-02-27",
"last_updated": "2013-10-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "312-942-6909"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PPO",
"identifier": "01620122",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Radiation Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Rush University Medical Center (University Consultants in Allergy & Immunology)
- Rush University Medical Center
- Rush University Medical Center
- Rush University Medical Center (Rush Health Center at Simpson Academy)
- Rush University Medical Center
- Rush University Medical Centre
- Rush University Medical Group (Rush University Internists)
- Rush University Pediatric Cardiac Surgeons
- Rush University Urology
- Rush-Select Holdings, LLC. (RUSH Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.