Organization
MIDWEST ORTHOPAEDICS AT RUSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J. COLE (MANAGING PHYSICIAN PROVIDER)
(708) 236-2673
Entity
Organization
Contact information
Practice address
17130 PRIME BLVD STE 101, LOCKPORT, IL 60441-1311
(708) 236-2772
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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