Organization Active NPI

Sy Health Rehab., LLC.

  • Physical Medicine & Rehabilitation Physician
  • Westchester, IL
National Provider Identifier
1841574381
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SY HEALTH REHAB., LLC.
Practice address
9865 W. Roosevelt Rd
#105
Westchester, IL 60154
Phone
(708) 344-1422
Fax
(708) 344-1481
NPI assigned
Oct 3, 2011
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Sunto Yen, MDNPI 1255610937
Title
President
Phone
(708) 344-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X 036.099392 IL

Addresses

Primary practice location

9865 W. Roosevelt Rd
#105
Westchester, IL 60154

Mailing address

9865 W. Roosevelt Rd
#105
Westchester, IL 60154
Phone (708) 344-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000231 IL Part B Supplier - Clinic/Group Practice 4688831514 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL; Evanston, IL; Hillside, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4413 Roosevelt Rd
Ste 101
Hillside, IL 60162
Phone (708) 344-1422

9865 W Roosevelt Rd
Ste 105
Westchester, IL 60154
Phone (708) 344-1422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1841574381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 W. ROOSEVELT RD",
            "address_2": "#105",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-344-1422",
            "fax_number": "708-344-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9865 W. ROOSEVELT RD",
            "address_2": "#105",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-344-1422",
            "fax_number": "708-344-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SY HEALTH REHAB., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "SUNTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-1422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "036.099392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.