SOUTHWEST REHABILITATION, S.C. (NPI# 1780601690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780601690 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST REHABILITATION, S.C. |
| Practice Address |
12251 S 80th Ave Palos Heights IL 60463-1256 |
| Mailing Address |
Po Box 388320 Chicago IL 60638-8320 |
| Practice Telephone | 7089235055 |
| Practice Fax Number | 7089235058 |
| Mailing Telephone | 7737674600 |
| Mailing Fax Number | 7737678320 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | RONALD MOCHIZUKI (PRESIDENT) |
| Authorized Official Telephone | 7089235055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 01620954 | 01 |
| Street Address |
12251 S 80TH AVE |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359465 | Kurt J Wagner | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-13 |
| 1558972364 | Anu J Stephen | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-14 |
| 1730799651 | Ruby Noemi Meyer | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-05 |
| 1306489711 | Allison Marie Reid | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-10-18 |
| 1548829450 | Christina Gavoni | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-06-13 |
| 1033775945 | Valerie R Giannini | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-05-15 |
| 1073074894 | Jessica Marie Kubicki | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-03-26 |
| 1205393014 | Ruthie Celestine Gavin | Registered Nurse | 12251 S 80th Ave, Palos Heights, IL 60463 | 2019-02-28 |
| 1609332188 | Maria Veronica Tarala | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-02-20 |
| 1578029013 | Michelle Katherine Panek | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-0930 | 2019-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659449171 | Martin Yee | Physical Medicine & Rehabilitation | 13259 S. Central, Palos Heights, IL 60463 | 2006-12-01 |
| 1902859580 | Ahmed H Elgamal | Physical Medicine & Rehabilitation | 7156 W 127th St # 300, Palos Heights, IL 60463-1560 | 2006-05-18 |
| 1942692876 | Southwest Rehabilitation Consultants Sc | Physical Medicine & Rehabilitation | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2015-03-02 |
| 1164590725 | Nelson Mclemore | Physical Medicine & Rehabilitation | 13259 S Central Ave, Palos Heights, IL 60463-2601 | 2006-12-01 |
| 1902894033 | Jonathan Shin | Physical Medicine & Rehabilitation | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-10-12 |
| 1376531558 | Yasemin Ozcan | Physical Medicine & Rehabilitation | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023982 | Tabitha Lyn Ganske | Physical Medicine & Rehabilitation | 27 Auerbach Pl, Glen Carbon, IL 62034-1596 | 2020-11-06 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1316569064 | Boss Povieng | Physical Medicine & Rehabilitation | 1620 W Harrison St Ste 403, Chicago, IL 60612-3801 | 2020-05-15 |
| 1265052781 | Nomad Enterprises | Physical Medicine & Rehabilitation | 5100 Forest Ave Unit 208, Downers Grove, IL 60515-4855 | 2020-04-24 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1104487289 | Ping Wang | Physical Medicine & Rehabilitation | 2320 Kalamazoo Dr, Naperville, IL 60565-6327 | 2019-06-27 |
| 1255999744 | Neil Dominic Seno Villarosa | Physical Medicine & Rehabilitation | 7313 Woodward Ave Apt 301, Woodridge, IL 60517-2549 | 2019-05-30 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1053873513 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N Convent St Ste 1000, Bourbonnais, IL 60914-1497 | 2019-04-03 |
| 1609335942 | Urlacherehab | Physical Medicine & Rehabilitation | 141 N Maple St, Palatine, IL 60067-4910 | 2019-03-16 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.