Provider Demographics
NPI:1710293329
Name:RUSH COPLEY CARDIOVASCULAR CONSULTANTS, LLC
Entity Type:Organization
Organization Name:RUSH COPLEY CARDIOVASCULAR CONSULTANTS, LLC
Other - Org Name:FOX VALLEY CARDIOVASCULAR CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-978-4976
Mailing Address - Street 1:2000 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7222
Mailing Address - Country:US
Mailing Address - Phone:630-978-4976
Mailing Address - Fax:630-978-6888
Practice Address - Street 1:2088 OGDEN AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4376
Practice Address - Country:US
Practice Address - Phone:630-851-6440
Practice Address - Fax:630-851-7001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COPLEY MEMORIAL HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty