| Rush-copley Medical Group | |
|
1100 W Veterans Pkwy Suite 200 Yorkville IL 60560-4728 | |
| (630) 820-4040 | |
| (630) 978-1240 |
| Full Name | Rush-copley Medical Group |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1100 W Veterans Pkwy, Yorkville, 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 1256 Waterford Dr Ste 230 Aurora IL 60504-4511 Ph: (630) 499-2404 | Rush-copley Medical Group 1100 W Veterans Pkwy Suite 200 Yorkville IL 60560-4728 Ph: (630) 820-4040 |
| NPI Number | 1841579893 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841579893 | NPI | - | NPPES |
| 036073955 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036073955 (Illinois) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 036073955 (Illinois) | Primary |
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Rush-copley Medical Group Nfp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Veterans Pkwy, Suite 200, Yorkville, IL 60560 Phone: 630-236-4270 Fax: 630-236-4271 | |
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