Healthcare Provider Details

I. General information

NPI: 1841574381
Provider Name (Legal Business Name): SY HEALTH REHAB., LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 04/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9865 W. ROOSEVELT RD #105
WESTCHESTER IL
60154
US

IV. Provider business mailing address

9865 W. ROOSEVELT RD #105
WESTCHESTER IL
60154
US

V. Phone/Fax

Practice location:
  • Phone: 708-344-1422
  • Fax: 708-344-1481
Mailing address:
  • Phone: 708-344-1422
  • Fax: 708-344-1481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number036.099392
License Number StateIL

VIII. Authorized Official

Name: SUNTO YEN
Title or Position: PRESIDENT
Credential: MD
Phone: 708-344-1422