MIDWEST ORTHOPAEDICS AT RUSH LLC
NPI 1013671106
Durable Medical Equipment & Medical Supplies in Joliet, IL

Active since October 26, 2021CLIA 14D2101142 · Waiver
963 N 129TH INFANTRY DR, JOLIET, IL 60435(877) 632-6637 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 14D2101142
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-26-2027

About MIDWEST ORTHOPAEDICS AT RUSH LLC

This page provides the complete NPI Profile along with additional information for Midwest Orthopaedics At Rush Llc, a provider established in Joliet, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1013671106 assigned on October 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Randal Johnson (Cfo)

NPI
1013671106 Verify this NPI
Provider Name
MIDWEST ORTHOPAEDICS AT RUSH LLC
Entity Type
Organization
Location Address
963 N 129TH INFANTRY DR JOLIET, IL 60435
Location Phone
(877) 632-6637
Mailing Address
1 WESTBROOK CORPORATE CTR STE 240 WESTCHESTER, IL 60154
Mailing Phone
(708) 236-2600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2021
Last Update Date
10-26-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDAL JOHNSON

Authorized Official Title
CFO
Authorized Official Phone
(170) 823-6260

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2101142
Facility Type
Physician Office
Certificate Effective Date
August 27, 2025
Certificate Expiration Date
August 26, 2027
Laboratory Director
BRIAN COLE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midwest Orthopaedics At Rush Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Ophthalmology
963 N 129TH INFANTRY DR, SUITE 110
JOLIET, IL 60435
Ophthalmology
963 N 129TH INFANTRY DR, SUITE 110
JOLIET, IL 60435
Orthopaedic Surgery
963 N 129TH INFANTRY DR, SUITE 100
JOLIET, IL 60435
Durable Medical Equipment & Medical Supplies
963 N 129TH INFANTRY DR, SUITE 110
JOLIET, IL 60435
Durable Medical Equipment & Medical Supplies
963 N 129TH INFANTRY DR, SUITE 110
JOLIET, IL 60435
Durable Medical Equipment & Medical Supplies
963 N 129TH INFANTRY DR, STE 110
JOLIET, IL 60435
Clinic/Center (Ambulatory Surgical)
963 N 129TH INFANTRY DR, SUTIE 120
JOLIET, IL 60435
Ophthalmology
963 N 129TH INFANTRY DR, STE 110
JOLIET, IL 60435
Specialist/Technologist (Athletic Trainer)
963 N 129TH INFANTRY DR, SUITE 100
JOLIET, IL 60435
Orthopaedic Surgery (Hand Surgery)
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Durable Medical Equipment & Medical Supplies
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Physician Assistant
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Orthopaedic Surgery (Foot and Ankle Surgery)
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Physician Assistant
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Orthopaedic Surgery (Sports Medicine)
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Physician Assistant
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Occupational Therapist
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Physical Therapist
963 N 129TH INFANTRY DR
JOLIET, IL 60435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013671106, enumerated as an "organization" on October 26, 2021.

The provider is located at 963 N 129TH INFANTRY DR JOLIET, IL 60435 and the phone number is (877) 632-6637.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.