Provider Demographics
NPI:1841446432
Name:RUSH UNIVERSITY
Entity type:Organization
Organization Name:RUSH UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEEPA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:502-418-9028
Mailing Address - Street 1:233 E 13TH STREET #503
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3239
Mailing Address - Country:US
Mailing Address - Phone:312-265-0446
Mailing Address - Fax:
Practice Address - Street 1:233 E 13TH STREET #503
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3239
Practice Address - Country:US
Practice Address - Phone:312-265-0446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital