Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rush Presbyterian-St Lukes Med Ctr

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1609956903

Rush Presbyterian-St Lukes Med Ctr is an Oral and Maxillofacial Surgery Clinic/Center in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1725 W Harrison St Ste 425 Pob 1
Chicago, IL 60612-3841
Phone: (312) 563-3000
Fax: (312) 563-2514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1609956903
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRush University Medical Center
Authorized official John Polley — Manager · (312) 563-3000
Other names Rush Craniofacial Center
NPI enumeratedOctober 17, 2006
Last updated in NPPESOctober 18, 2010
Mailing address1725 W Harrison St, Suite 425, Pob 1, Chicago, IL 60612-3841

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