Organization
MIDWEST ORTHOPAEDICS AT RUSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL JOHNSON (CHIEF FINANCIAL OFFICER)
(708) 236-2600
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, #1400, OAK PARK, IL 60304-1091
(708) 383-0770
(708) 383-5673
Mailing address
1 WESTBROOK CORPORATE CTR, #240, WESTCHESTER, IL 60154-5701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
04/16/2015
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