Rush Pres St. Luke's Med Center

NPI #1154448355 in Skokie, Illinois

Provider Information

NPI Number: 1154448355
Entity Type: Organization
Organization Name: Rush Pres St. Luke's Med Center
Subpart: Yes (part of a larger organization)
Parent Organization: RUSH PRES ST. LUKE'S MED CENTER
Primary Specialty: Dermatology
Enumeration Date: Mar 23, 2007
Last Updated: Jun 13, 2008

Practice Location

Address: 4711 GOLF RD STE 711
City: Skokie
State: Illinois
ZIP Code: 60076-1245
Phone: (847) 568-9911

Authorized Official

Name: MICHAEL D THARP, MD
Title: DIRECTOR
Phone: (312) 942-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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