Organization
SOUTHWEST REHABILITATION CONSULTANTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SHIN MD (PRESIDENT)
(773) 505-4276
Entity
Organization
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5055
Mailing address
1683 BLUESTEM LN, GLENVIEW, IL 60026-7788
(773) 505-4276
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-106780
IL
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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