Retreat Care Group, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RETREAT CARE GROUP, P.A.

Practice address

21660 W Field Pkwy Ste 201
Deer Park, IL 60010-7265

Phone

(847) 220-7386

NPI assigned

Oct 4, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina Frenkel, FNP

Title

President

Phone

(847) 220-7386

Specialties & licenses 1

Addresses

Locations

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.

• Sarah Jessica Brown, DNP, APRN, CNM, WHNP

  • Advanced Practice Midwife
  • Deer Park, IL
  • NPI 1811759657
  NPD

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1306665534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21660 W FIELD PKWY STE 201",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 W FIELD PKWY STE 201",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107265",
            "telephone_number": "847-220-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETREAT CARE GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FRENKEL",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-220-7386",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenean Poley, LCPC
• Bruce N Privatsky, DDS
• Carole R Proebstle, PSY.D.
• Kelsey L Proehl, FNP-BC
• J. Grant Reffell, D.C.
• Serena Salerno, DC
• Seraphic Family Care and Wellness LLC
• Serena Kleinstub DC, P.C. (Deer Park Chiropractic)
• Taylor Sheahen, LCPC
• Barbara W Spaulding, L.C.S.W.

• Family Medicine Physician in Deer Park, IL
• Providers in Deer Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.