| Rush-copley Medical Group | |
|
1256 Waterford Dr Suite 120 Aurora IL 60504-4510 | |
| (630) 820-4040 | |
| (630) 978-1240 |
| Full Name | Rush-copley Medical Group |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1256 Waterford Dr, 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 1256 Waterford Dr Ste 230 Aurora IL 60504-4511 Ph: (630) 499-2404 | Rush-copley Medical Group 1256 Waterford Dr Suite 120 Aurora IL 60504-4510 Ph: (630) 820-4040 |
| NPI Number | 1477831220 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477831220 | NPI | - | NPPES |
| 036076800 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036076800 (Illinois) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 036076800 (Illinois) | Primary |
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