Western Rehabilitation and Pain Management, S.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036082891 Issued in IL

Legal business name

WESTERN REHABILITATION AND PAIN MANAGEMENT, S.C.

Practice address

2340 S Highland Ave
Suite 370
Lombard, IL 60148-5397

Phone

(630) 873-5425

Fax

(630) 620-1196

NPI assigned

May 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammed N Siddiqui, D.O.

Title

Owner

Phone

(630) 873-5425

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1003135526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5978",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815312",
            "telephone_number": "630-873-5425",
            "fax_number": "630-620-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 370",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485397",
            "telephone_number": "630-873-5425",
            "fax_number": "630-620-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REHABILITATION AND PAIN MANAGEMENT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-873-5425",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036082891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Wenz, D.D.S.
• Timothy Charles Weselak, D.C.
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• West Suburban Wellness
• Erin Kaylin West
• Westside Medical Assocs, LTD.
• Sarah Wetherell, MSW, LSW
• Iliyah White
• Megan Marie Whitfield
• Cheryl Wickstrom

• Physical Medicine & Rehabilitation Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.