Rush-Copley Medical Group Nfp

LBN: Rush-Copley Medical Group Nfp
Rush-Copley Medical Group Nfp is an health care organization with primary practice located at 2040 Ogden Ave Suite 303, Aurora IL 60504-7206. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Rush-Copley Medical Group Nfp can be contacted via phone (630) 499-2329, or through Brummel, Marcee A. via phone (630) 978-4915.

Contact Information

Primary practice address
2040 Ogden Ave Suite 303 Aurora IL 60504-7206
Phone: (630) 499-2329
Fax: (630) 898-5837
Website:
Map and Directions
Authorized official contact:
Name: Brummel, Marcee A.
Phone: (630) 978-4915

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-115418 Illinois
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 036-115418 Illinois
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036-115418 Illinois

Profile Details

NPI number 1639455173
LBN Legal business name Rush-Copley Medical Group Nfp
DBA Doing business as
Authorized official Brummel, Marcee A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2011
Last updated Feb 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639455173 NPPES
Illinois MEDICAID 036-115418

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