| Rush-copley Medical Group | |
|
2040 Ogden Ave. Suite 304 Aurora IL 60504 | |
| (630) 236-4270 | |
| (630) 236-4271 |
| Full Name | Rush-copley Medical Group |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 2040 Ogden Ave., Aurora, Illinois |
| Authorized Official Name and Position | Marcee A Brummel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6304992404 |
| 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 2040 Ogden Ave. Suite 304 Aurora IL 60504 Ph: (630) 236-4270 |
| NPI Number | 1376894501 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376894501 | NPI | - | NPPES |
| 036-112492 | Medicaid | IL |
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