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
2450 WOLF RD, SUITE F, WESTCHESTER, IL 60154-5634
(708) 236-2750
(708) 562-6875
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
10/15/2018
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