Southwest Rehabilitation, S.C.

LBN: Southwest Rehabilitation, S.C.
Southwest Rehabilitation, S.C. is an health care organization with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Southwest Rehabilitation, S.C. can be contacted via phone (708) 923-5055, or through Mochizuki, Ronald via phone (708) 923-5055.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1256
Phone: (708) 923-5055
Fax: (708) 923-5058
Website:
Map and Directions
Authorized official contact:
Name: Mochizuki, Ronald Doctor of Medicine (MD)
Phone: (708) 923-5055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1780601690
LBN Legal business name Southwest Rehabilitation, S.C.
DBA Doing business as
Authorized official Mochizuki, Ronald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 26th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780601690 NPPES
Illinois Other 01620954 BLUE SHIELD

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