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RUSH CRANIOFACIAL CENTER
NPI 1609956903
Clinic/Center - Oral and Maxillofacial Surgery in Chicago, IL

Active since October 17, 2006
1725 W HARRISON ST, SUITE 425, POB 1, CHICAGO, IL 60612(312) 563-3000(312) 563-2514 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rush Craniofacial Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSH CRANIOFACIAL CENTER (NPI 1609956903) is a healthcare organization registered as an oral and maxillofacial surgery in Chicago, Illinois and active in the NPI registry since October 2006. The organization lists John W. Polley, Manager, as its authorized official.

NPPES Registry Identity

NPI1609956903
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameRUSH PRESBYTERIAN-ST LUKES MED CTR
Location Address1725 W HARRISON ST, SUITE 425, POB 1Chicago, IL 60612-3841
Mailing Address1725 W Harrison St, Suite 425, Pob 1Chicago, IL 60612-3841 · (312) 563-3000 · Fax (312) 563-2514
Phone(312) 563-3000
Fax(312) 563-2514
Organization SubpartYesParent: Rush University Medical Center
Authorized OfficialJohn W. PolleyManager · (312) 563-3000
Enumeration DateOctober 17, 2006
Last NPPES UpdateOctober 18, 2010
✔ NPI 1609956903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1725 W HARRISON ST, Chicago, IL 60612
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Other Names 1

Doing Business AsRush Craniofacial Center

Other Identifiers 8

Other21623004IL · Jwp-rcfc #
Medicaid036079739IL
Medicare UPINE68962IL
Medicare ID-Type Unspecified918610IL · Jwp-rcfc #
Medicare ID-Type Unspecified918620IL · Aaf-rcfc #
Other32517IL · Aaf-rcfc #
Medicare UPINU05419IL
Medicaid019018936IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTA BATUS MD
Internal Medicine (Medical Oncology)
1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612
Cook County (312) 563-2487
KM WILLIAMS MD SC
Clinic/Center (Ophthalmologic Surgery)
1725 W HARRISON ST, STE 910
CHICAGO, IL 60612
Cook County (312) 622-7320
KENNETH M BOYER M.D.
Pediatrics (Pediatric Infectious Diseases)
1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612
Cook County (312) 942-3034
RUSH UNIVERSITY MEDICAL CENTER
Internal Medicine (Hematology)
1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612
Cook County (312) 942-5904
DAVID ANSELL M.D.
Internal Medicine
1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612
Cook County (312) 942-6700
MIDWEST NEUROPSYCHIATRIC ASSOC LTD
Specialist
1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612
Cook County (312) 942-0118
JANICE DIESCHBOURG M.D.
Radiology (Diagnostic Radiology)
1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612
Cook County (312) 563-3269
AFFILIATED UROLOGISTS, LTD
Specialist
1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612
Cook County (312) 563-3447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rush Presbyterian-St Lukes Med Ctr's NPI number?

The NPI number for Rush Presbyterian-St Lukes Med Ctr is 1609956903. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Rush Craniofacial Center.

Where is Rush Presbyterian-St Lukes Med Ctr located?

Rush Presbyterian-St Lukes Med Ctr is located at 1725 W Harrison St Suite 425, Pob 1, Chicago, IL 60612. The listed phone number is (312) 563-3000.

What is Rush Presbyterian-St Lukes Med Ctr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Rush Presbyterian-St Lukes Med Ctr was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.