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NPI Code Detail

MEDICARE: MIDWEST ORTHOPAEDICS AT RUSH, LLC

MEDICARE: MIDWEST ORTHOPAEDICS AT RUSH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1215068002
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST ORTHOPAEDICS AT RUSH, LLC
Provider Business Mailing Address
First Line : 1 WESTBROOK CORPORATE CTR STE 240
Second Line : ATTN: CREDENTIALING DEPT
City : WESTCHESTER
State : IL
Zip : 60154-5701
Country : US
Telephone Number : 708-236-2673
Fax Number : 708-409-5179
Provider Business Practice Location Address
First Line : 55 SHUMAN BLVD STE 700
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8422
Country : US
Telephone Number : 877-632-6637
Fax Number : 708-409-5179
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. BRIAN COLE
Credential : MD
Telephone Number : 708-236-2673
Provider Enumeration Date : 03/07/2007
Last Update Date : 09/24/2019

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Directions to “MIDWEST ORTHOPAEDICS AT RUSH, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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