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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: August 16, 2026.

About Midwest Orthopaedics At Rush Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST ORTHOPAEDICS AT RUSH LLC (NPI 1013671106) is a healthcare organization registered as a durable medical equipment & medical supplies in Joliet, Illinois and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Randal Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013671106
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMIDWEST ORTHOPAEDICS AT RUSH LLC
Location Address963 N 129TH INFANTRY DRJoliet, IL 60435-3104
Mailing Address1 Westbrook Corporate Ctr Ste 240Westchester, IL 60154-5745 · (708) 236-2600
Phone(877) 632-6637
Organization SubpartNo
Authorized OfficialRandal JohnsonCfo · (170) 823-6260
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1013671106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
963 N 129TH INFANTRY DR, Joliet, IL 60435
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2101142

Midwest Orthopaedics At Rush LLC · Westchester, IL
Active · expires Aug 26, 2027
CLIA Number14D2101142
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorBrian Cole MD
Laboratory Phone(708) 236-2600
Laboratory LocationMidwest Orthopaedics At Rush LLC2450 S Wolf Rd, Ste C, Westchester, IL 60154
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIGIJUS P LELIS MD
Ophthalmology
963 N 129TH INFANTRY DR, SUITE 110
JOLIET, IL 60435
Will County (815) 729-3777
MATTHEW A CREASEY PA-C
Physician Assistant
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Will County (877) 632-6637
ELIGIJUS P LELIS MD & ASSOCIATES, SC
Durable Medical Equipment & Medical Supplies
963 N 129TH INFANTRY DR, SUITE 110
JOLIET, IL 60435
Will County (815) 725-9377
ORTHOMIDWEST, PLLC
Durable Medical Equipment & Medical Supplies
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Will County (877) 632-6637
DR. EDWARD SHIN HUR MD
Orthopaedic Surgery (Foot and Ankle Surgery)
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Will County (877) 632-6637
NITIN GOYAL MD
Orthopaedic Surgery (Hand Surgery)
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Will County (877) 632-6637
GIANNA MARIE PRUCHA PA
Physician Assistant
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Will County (877) 632-6637
LISA M GRANTMAN OTR
Occupational Therapist
963 N 129TH INFANTRY DR
JOLIET, IL 60435
Will County (877) 632-6637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Orthopaedics At Rush LLC's NPI number?

The NPI number for Midwest Orthopaedics At Rush LLC is 1013671106. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Midwest Orthopaedics At Rush LLC located?

Midwest Orthopaedics At Rush LLC is located at 963 N 129th Infantry Dr, Joliet, IL 60435. The listed phone number is (877) 632-6637.

What is Midwest Orthopaedics At Rush LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Midwest Orthopaedics At Rush LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2101142) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midwest Orthopaedics At Rush LLC was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.