Organization Name: | SY HEALTH REHAB LLC |
NPI Number: | 1518235043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNTO YEN (PRESIDENT) |
Mailing Address: | 9865 W Roosevelt Rd 105 Westchester |
State: | IL US |
Postal Code: | 601542767 |
Phone Number: | 7083441422 |
Fax Number: | 7083441481 |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036099392 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |