Organization
MIDWEST ORTHOPAEDICS AT RUSH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL JOHNSON (CFO)
(170) 823-6260
Entity
Organization
Contact information
Practice address
963 N 129TH INFANTRY DR, JOLIET, IL 60435-3104
(877) 632-6637
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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