Rush Oak Park Physicians Group Lake Street

NPI #1841531456 in Oak Park, Illinois

Provider Information

NPI Number: 1841531456
Entity Type: Organization
Organization Name: Rush Oak Park Physicians Group Lake Street
Subpart: Yes (part of a larger organization)
Parent Organization: RUSH MEDICAL GROUP
Primary Specialty: Internal Medicine
Enumeration Date: Mar 6, 2013
Last Updated: Sep 26, 2024

Practice Location

Address: 1011 LAKE ST
Address 2: SUITE 300
City: Oak Park
State: Illinois
ZIP Code: 60301-1148
Phone: (708) 628-0600

Authorized Official

Name: SCOTT A HALPER
Title: AUTHORIZED OFFICIAL
Phone: (312) 942-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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