Organization
WESTERN REHABILITATION AND PAIN MANAGEMENT, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED N SIDDIQUI D.O. (OWNER)
(630) 873-5425
Entity
Organization
Contact information
Practice address
2340 S HIGHLAND AVE, SUITE 370, LOMBARD, IL 60148-5397
(630) 873-5425
(630) 620-1196
Mailing address
PO BOX 5978, VILLA PARK, IL 60181-5312
(630) 873-5425
(630) 620-1196
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036082891
IL
Other
Enumeration date
05/24/2010
Last updated
11/18/2010
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