Southwest Rehabilitation Consultants SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036-106780 Issued in IL

Legal business name

SOUTHWEST REHABILITATION CONSULTANTS SC

Practice address

12251 S 80TH Ave
Palos Heights, IL 60463-1256

Phone

(708) 923-5055

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Shin, MD

Title

President

Phone

(773) 505-4276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1942692876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 BLUESTEM LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267788",
            "telephone_number": "773-505-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST REHABILITATION CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-505-4276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-106780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinod Kumar Soni, M.D.
• Southside Orthopaedics P.C. (dba HEIGHTS PHYSICAL THERAPY)
• Southwest Family Practice LTD
• Southwest Infectious Disease & Internal Medicine S C
• Southwest Neurological Consultants, PC
• Southwest Rehabilitation, S.C.
• Special Home Care Services LLC
• Special Home Health Care LLC
• Antoinette Sperelakis, M.D.
• Renee Spinella, PT, DPT, CERT MDT

• Physical Medicine & Rehabilitation Physician in Palos Heights, IL
• Providers in Palos Heights, 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 Mar 2, 2015; 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.