Individual ProviderOliver RalphSurgeryAllopathic & Osteopathic PhysiciansPractice AddressRush University Medical Center, 1750 W. Harrison Suite 775, Chicago, IL 60612(312) 942-5474PECOS EnrollmentBased on the most recent information from CMS, provider Oliver Ralph is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1740817923Provider TypeIndividualFull NameRalph, OliverTitleDr.GenderMaleSole ProprietorYesEnumeration Date3/26/2020Last Updated7/10/2020Contact InformationPractice LocationPractice AddressRush University Medical Center, 1750 W. Harrison Suite 775, Chicago, IL 60612Phone(312) 942-5474FaxUnlisted FaxMailing LocationMailing AddressRush University Medical Center, 1750 W. Harrison Suite 775, Chicago, IL 60612Phone(312) 942-5474FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125075975Illinois