Organization
SOUTHSIDE ORTHOPAEDICS P.C.
Active
Other names
dba HEIGHTS PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P REGAN M.D. (MEDICAL DOCTOR)
(708) 361-3930
Entity
Organization
Contact information
Practice address
11757 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1015
(708) 361-3930
(708) 361-7969
Mailing address
11757 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1084
(708) 361-3930
(708) 361-7969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
060.002144 036.04481
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633518
BC/BS
IL
Enumeration date
03/22/2007
Last updated
11/28/2007
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