Organization
MIDWEST ORTHOPAEDICS AT RUSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL JOHNSON MD (CHIEF FINANCIAL OFFICER)
(708) 236-2673
Entity
Organization
Contact information
Practice address
1611 W. HARRISON STREET, # 400, CHICAGO, IL 60612
(312) 432-2300
(708) 409-5179
Mailing address
1 WESTBROOK CORP CTR, #240, WESTCHESTER, IL 60154-5701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
05/28/2015
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