Western Rehabilitation And Pain Management, S.C.
Physical Medicine & Rehabilitation in Lombard, IL. Organization (NPI-2).
NPI number1003135526
StatusActive
Last updated in NPPESNov 18, 2010
Details
- NPI
- 1003135526
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Rehabilitation And Pain Management, S.C.
- Organization subpart
- No
- Enumeration date
- May 24, 2010
- Last updated
- Nov 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036082891 | IL | Yes |
Practice location
2340 S Highland AveSuite 370
Lombard, IL 60148-5397
Phone 630-873-5425 · Fax 630-620-1196
Mailing address
Po Box 5978Villa Park, IL 60181-5312
Phone 630-873-5425 · Fax 630-620-1196
Authorized official
Mohammed N Siddiqui
Owner
6308735425
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