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Rush-Copley Medical Group

Neurological Surgery in Aurora, IL. Organization (NPI-2).

NPI number1679745293
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1679745293
Entity type
Organization (NPI-2)
Legal business name
Rush-Copley Medical Group
Organization subpart
Yes
Enumeration date
Mar 25, 2008
Last updated
Feb 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery036-110500ILYes

Practice location

2040 Ogden Ave
Ste 30
Aurora, IL 60504-7222

Phone 630-978-6770 · Fax 630-978-6773

Mailing address

1256 Waterford Dr Ste 230
Aurora, IL 60504-4511

Phone 630-499-2404 · Fax 630-692-5518

Authorized official

Marcee Brummel
Executive Director
6309784915

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