Rush Otolaryngology Head and Neck Surgery

NPI #1124101548 in Chicago, Illinois

Provider Information

NPI Number: 1124101548
Entity Type: Organization
Organization Name: Rush Otolaryngology Head and Neck Surgery
Subpart: Yes (part of a larger organization)
Parent Organization: RUSH UNIVERSITY MEDICAL CENTER
Primary Specialty: Otolaryngology
Enumeration Date: Oct 21, 2006
Last Updated: Jun 23, 2010

Practice Location

Address: 1611 W HARRISON ST
Address 2: SUITE 550
City: Chicago
State: Illinois
ZIP Code: 60612-4861
Phone: (312) 942-6100

Authorized Official

Name: DAVID D CALDARELLI, M.D.
Title: AUTHORIZED OFFICIAL
Phone: (312) 942-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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