| Organization Name: | RUSH COPLEY MEDICAL GROUP |
| NPI Number: | 1295836534 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCEE BRUMMEL (DIRECTOR CONTRACTING & IMPLEMENTATI) |
| Mailing Address: | 1100 Veteran's Pkwy Suite 210 Yorkville |
| State: | IL US |
| Postal Code: | 60560 |
| Phone Number: | 6309786886 |
| Fax Number: | 6309786806 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 12/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |