# WESTERN REHABILITATION AND PAIN MANAGEMENT, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003135526
- **Authorized official:** MOHAMMED N SIDDIQUI D.O. (OWNER)
- **Authorized official phone:** (630) 873-5425

## Contact information

- **Practice address:** 2340 S HIGHLAND AVE, SUITE 370, LOMBARD, IL 60148-5397
- **Practice address phone:** (630) 873-5425
- **Practice address fax:** (630) 620-1196
- **Mailing address:** PO BOX 5978, VILLA PARK, IL 60181-5312
- **Mailing address phone:** (630) 873-5425
- **Mailing address fax:** (630) 620-1196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036082891 | IL | Yes |

## Other

- **Enumeration date:** 05/24/2010
- **Last updated:** 11/18/2010