| NPI | 1609956903 |
|---|---|
| Doing Business As | RUSH CRANIOFACIAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN W. POLLEY Manager 312-563-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-10-18 |