Organization Active NPI

4R Group LLC

  • Private Vehicle
  • Gurnee, IL
National Provider Identifier
1013791680
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniele RogersNPI 1205658721
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.