Provider Demographics
NPI:1144777285
Name:RUSH UNIVERSITY MEDICAL CENTRE
Entity Type:Organization
Organization Name:RUSH UNIVERSITY MEDICAL CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FELLOW NUCLEAR MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JADHAV
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS DMRD DNB
Authorized Official - Phone:773-397-1687
Mailing Address - Street 1:1653 W CONGRESS PKWY
Mailing Address - Street 2:JELKE BUILDING, SUITE 181
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3833
Mailing Address - Country:US
Mailing Address - Phone:312-942-4184
Mailing Address - Fax:
Practice Address - Street 1:1653 W CONGRESS PARKWAY
Practice Address - Street 2:JELKE BUIDLING SUITE 181
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-942-4184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125066287282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital