OrganizationActive
Rush Presbyterian-St Lukes Med Ctr
NPI 1609956903 · Oral and Maxillofacial Surgery Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1609956903
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Rush University Medical Center
- Authorized official
- John Polley, Manager
Practice location
1725 W Harrison St
Suite 425, Pob 1
Chicago, IL 60612-3841
Phone: (312) 563-3000
Fax: (312) 563-2514
Mailing address
1725 W Harrison St
Chicago, IL 60612-3841
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2010-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.