Organization Active NPI

Midwest Orthopaedics at Rush, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1811942451
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MIDWEST ORTHOPAEDICS AT RUSH, LLC
Practice address
1611 W Harrison St
# 400
Chicago, IL 60612-3841
Phone
(312) 432-2300
Fax
(708) 409-5179
NPI assigned
May 23, 2006
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian J. Cole, MDNPI 1659350379
Title
Managing Partner
Phone
(708) 236-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

1611 W Harrison St
# 400
Chicago, IL 60612-3841

Mailing address

1 Westbrook Corporate Ctr
#240
Westchester, IL 60154-5701
Phone (708) 236-2673

Other practice location 1

9200 Calumet Ave Ste 300
Munster, IN 46321-2885
Phone (708) 236-2600

Other practice location 2

2450 Wolf Rd
Westchester, IL 60154-5643
Phone (708) 236-2600

Other practice location 3

610 S Maple Ave
Oak Park, IL 60304-1091
Phone (708) 236-2600

Other practice location 4

25 N Winfield Rd Ste 505
Winfield, IL 60190-1222
Phone (708) 236-2600

Other practice location 5

2011 N York Rd Ste. 1500
Oak Brook, IL 60523
Phone (708) 236-2600

Other practice location 6

18016 Wolf Rd
Orland Park, IL 60467-5407
Phone (877) 632-6637

Other practice location 7

2000 W State St Ste F
Geneva, IL 60134-3696
Phone (877) 632-6637

Other practice location 8

55 Shuman Blvd Ste 700
Naperville, IL 60563-8422
Phone (708) 236-2600

Other identifiers 2

IdentifierTypeStateIssuer
DA5233OtherILRAILROAD MEDICARE NUMBER
DA4902OtherILRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031107000184 IL Part B Supplier - Clinic/Group Practice 0244143196 Receives reassigned benefits from 182 practitioners
Practice locations: Westchester, IL; Winfield, IL; Skokie, IL; Orland Park, IL; Oak Park, IL; Oak Brook, IL; Naperville, IL; Lockport, IL…
O20040706000709 IL Part B Supplier - Clinic/Group Practice 0244143196 Receives reassigned benefits from 77 practitioners
Practice locations: Winfield, IL; Westchester, IL; Chicago, IL; Skokie, IL; Oak Park, IL; Oak Brook, IL; Naperville, IL; Elmhurst, IL
O20131115000335 IN Part B Supplier - Clinic/Group Practice 0244143196 Receives reassigned benefits from 86 practitioners
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

1000 Commerce Ct
Ste 101
Bensenville, IL 60106
Phone (312) 432-2591

Dept 4559
Carol Stream, IL 60122

9200 Calumet Ave
#300
Munster, IN 46321

Practitioners & affiliated clinicians

Practitioners 444

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1811942451",
    "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",
            "telephone_number": "708-236-2673",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "# 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-432-2300",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Calumet Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212885",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545643",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 S Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603041091",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901222",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 N York Rd Ste. 1500",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "60523",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18016 Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675407",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 W State St Ste F",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601343696",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Shuman Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638422",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST ORTHOPAEDICS AT RUSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "708-236-2673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "DA5233",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "DA4902",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.