Active NPI
Midwest Orthopaedics at Rush, LLC
- Durable Medical Equipment & Medical Supplies
- Winfield, IL
National Provider Identifier
1700917796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MIDWEST ORTHOPAEDICS AT RUSH, LLC
- Practice address
- 25 N. Winfield Road
Winfield, IL 60190 - Phone
- (630) 682-5653
- Fax
- (630) 682-8946
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randal Johnson, MD
- Title
- Chief Financial Officer
- Phone
- (708) 236-2673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
25 N. Winfield Road
Winfield, IL 60190
Mailing address
1 Westbrook Corporate Ctr
#240
Westchester, IL 60154-5701
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1700917796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBROOK CORPORATE CTR",
"address_2": "#240",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N. WINFIELD ROAD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-682-5653",
"fax_number": "630-682-8946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ORTHOPAEDICS AT RUSH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RANDAL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "708-236-2673",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.