| Rush-copley Medical Group Nfp | |
|
2040 Ogden Ave Suite 303 Aurora IL 60504-7206 | |
| (630) 499-2329 | |
| (630) 898-5837 |
| Full Name | Rush-copley Medical Group Nfp |
|---|---|
| Speciality | Family Medicine |
| Location | 2040 Ogden Ave, Aurora, Illinois |
| Authorized Official Name and Position | Marcee A. Brummel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6309784915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush-copley Medical Group Nfp 1256 Waterford Dr Ste 230 Aurora IL 60504-4511 Ph: (630) 499-2404 | Rush-copley Medical Group Nfp 2040 Ogden Ave Suite 303 Aurora IL 60504-7206 Ph: (630) 499-2329 |
| NPI Number | 1639455173 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639455173 | NPI | - | NPPES |
| 036-115418 | Medicaid | IL |
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