Individual provider Active NPI

Elise Rehn, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1104082791
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036121459 Issued in IL
Practice address
1111 W Chicago Ave
Chicago, IL 60642-5773
Phone
(312) 926-8200
NPI assigned
Aug 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036121459 IL Primary

Addresses

Primary practice location

1111 W Chicago Ave
Chicago, IL 60642-5773

Mailing address

1111 Chicago Ave Ste 224
Oak Park, IL 60302-1874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 29, 2016 through Dec 29, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036121459ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Cathedral Counseling Center PastSince Oct 1, 1999 Accepting new patients
Elise E. Rehn, MD, LLC Psychiatry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1104082791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CHICAGO AVE STE 224",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425773",
            "telephone_number": "312-926-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHN",
        "first_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-02",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036121459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.