MIDWEST ORTHOPAEDICS AT RUSH LLC NPI 1356678619

NPI Information

  • NPI: 1356678619
  • Provider Name: MIDWEST ORTHOPAEDICS AT RUSH, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 14D2195809
  • Address: 1611 W. HARRISON STREET
    # 400
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 432-2300

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NPI Details

MIDWEST ORTHOPAEDICS AT RUSH, LLC is a durable medical equipment medical supplies in Chicago, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MIDWEST ORTHOPAEDICS AT RUSH, LLC NPI is 1356678619. The provider is registered as an organization entity type.

The provider's business location address is:

1611 W. HARRISON STREET
# 400
CHICAGO, IL
ZIP 60612
Phone: (312) 432-2300
Fax: (708) 409-5179

The provider's authorized official is Randal Johnson .
The authorized official title is Chief Financial Officer and has the following contact phone number (708) 236-2673.

The CLIA number assigned to this NPI record is 14D2195809 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2009 and was last updated on 5/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209119MEDICARE PIN
2207073MEDICARE PINILLINOIS
34955960005MEDICARE NSCILLINOIS
4207067MEDICARE PINILLINOIS
5209118MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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