Organization
MIDWEST ORTHOPAEDICS AT RUSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J. COLE MD (MANAGING PARTNER)
(708) 236-2673
Entity
Organization
Contact information
Practice address
1611 W HARRISON ST, # 400, CHICAGO, IL 60612-3841
(312) 432-2300
(708) 409-5179
Mailing address
1 WESTBROOK CORPORATE CTR, #240, WESTCHESTER, IL 60154-5701
(708) 236-2673
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA4902
RAILROAD MEDICARE NUMBER
IL
01
—
DA5233
RAILROAD MEDICARE NUMBER
IL
Enumeration date
05/23/2006
Last updated
08/21/2019
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