Provider Demographics
NPI:1922270545
Name:SOUTHWEST HAND REHABILITATION LTD
Entity Type:Organization
Organization Name:SOUTHWEST HAND REHABILITATION LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:J
Authorized Official - Last Name:GERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:708-448-7457
Mailing Address - Street 1:7350 W COLLEGE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1188
Mailing Address - Country:US
Mailing Address - Phone:708-448-7457
Mailing Address - Fax:708-448-8929
Practice Address - Street 1:3759 W 95TH ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2000
Practice Address - Country:US
Practice Address - Phone:708-424-2333
Practice Address - Fax:708-424-6985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL323301069001Medicaid
ILR79040Medicare UPIN
IL358380Medicare PIN