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DSH140119BV RUSH UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
RUSH UNIVERSITY MEDICAL CENTER
Subdivision Name
RUMG Physical Med & Rehab - Physical Med & Rehab - Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140119BV
Medicare Provider Number
140119
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/30/2024
Last Recertification Date
Contacts
Authorizing Official
Rush University Medical Center
Patricia Steeves ONeil, CFO
(312) 942-5647
Primary Contact
Health Delivery Management, L.L.C.
Matthew Kemper, Director, Clinical Operations
(312) 563-2326
Addresses
Street Address
1520 West Harrison Street
7th Floor
Chicago, IL 60612
Billing Address
Rush University Medical Center
1653 W Congress Pkwy
Suite 418
Chicago, IL 60612
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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