OrganizationRush University Medical Center(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276(312) 942-8000PECOS EnrollmentBased on the most recent information from CMS, provider Rush University Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902873003Provider TypeOrganizationFull NameRush University Medical CenterOther Name<Unavail>SubpartYesEnumeration Date3/7/2006Last Updated8/9/2013Contact InformationPractice LocationPractice Address1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276Phone(312) 942-8000FaxUnlisted FaxMailing LocationMailing Address1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276Phone(312) 942-8000FaxUnlisted FaxAuthorized OfficialNameSmith, Brian T (Vp/Authorized Official)Phone(312) 942-6909Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer