Rush-Copley Medical Group Nfp

NPI #1639455173 in Aurora, Illinois

Provider Information

NPI Number: 1639455173
Entity Type: Organization
Organization Name: Rush-Copley Medical Group Nfp
Primary Specialty: Family Medicine
Enumeration Date: Oct 28, 2011
Last Updated: Feb 21, 2018

Practice Location

Address: 2040 OGDEN AVE
Address 2: SUITE 303
City: Aurora
State: Illinois
ZIP Code: 60504-7206
Phone: (630) 499-2329

Authorized Official

Name: MARCEE A. BRUMMEL
Title: EXECUTIVE DIRECTOR
Phone: (630) 978-4915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Adolescent Medicine — Adolescent Medicine	207QA0000X
Family Medicine - Adult Medicine — Adult Medicine	207QA0505X
Family Medicine	207Q00000X	Primary

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