Active NPI
4R Group LLC
- Private Vehicle
- Gurnee, IL
National Provider Identifier
1013791680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- 4R GROUP LLC
- Practice address
- 3485 Woodlawn Ave
Gurnee, IL 60031-3627 - Phone
- (312) 468-8213
- NPI assigned
- Aug 23, 2023
- Last updated
- Oct 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniele Rogers
- Title
- Owner
- Phone
- (847) 409-9278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | NU | ||
| Private Vehicle | 347C00000X | NU | Primary | |
| Transportation Network Company | 342000000X | NU |
Addresses
Primary practice location
3485 Woodlawn Ave
Gurnee, IL 60031-3627
Mailing address
1 N Oplaine Rd Unit 461
Gurnee, IL 60031-0819
Phone (312) 468-8213
National Provider Directory
National Provider DirectoryLocations
1 N Oplaine Rd
Unit 461
Gurnee, IL 60031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Driver
- Gurnee, IL
- NPI 1205658721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729900800000",
"number": "1013791680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N OPLAINE RD UNIT 461",
"city": "GURNEE",
"state": "IL",
"postal_code": "600310819",
"telephone_number": "312-468-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 WOODLAWN AVE",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313627",
"telephone_number": "312-468-8213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "4R GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-23",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "DANIELE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-409-9278"
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.