# MIDWEST ORTHOPAEDICS AT RUSH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811942451
- **Authorized official:** BRIAN J. COLE MD (MANAGING PARTNER)
- **Authorized official phone:** (708) 236-2673

## Contact information

- **Practice address:** 1611 W HARRISON ST, \# 400, CHICAGO, IL 60612-3841
- **Practice address phone:** (312) 432-2300
- **Practice address fax:** (708) 409-5179
- **Mailing address:** 1 WESTBROOK CORPORATE CTR, \#240, WESTCHESTER, IL 60154-5701
- **Mailing address phone:** (708) 236-2673
- **Mailing address fax:** (708) 409-5179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/21/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DA4902 | RAILROAD MEDICARE NUMBER | IL |
| 01 | — | DA5233 | RAILROAD MEDICARE NUMBER | IL |