# SOUTHWEST REHABILITATION CONSULTANTS SC

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

## Provider details

- **NPI number:** 1942692876
- **Authorized official:** JONATHAN SHIN MD (PRESIDENT)
- **Authorized official phone:** (773) 505-4276

## Contact information

- **Practice address:** 12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
- **Practice address phone:** (708) 923-5055
- **Mailing address:** 1683 BLUESTEM LN, GLENVIEW, IL 60026-7788
- **Mailing address phone:** (773) 505-4276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036-106780 | IL | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/02/2015