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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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