Organization Active NPI

Rejuvenate Therapy & Healthcare

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1366761769
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REJUVENATE THERAPY & HEALTHCARE
Practice address
8401 Crawford Ave Ste 106
Skokie, IL 60076-2154
Phone
(847) 423-2625
Fax
(847) 737-1663
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Mr. Alan Weissman
Title
President
Phone
(847) 423-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8401 Crawford Ave Ste 106
Skokie, IL 60076-2154

Mailing address

8401 Crawford Ave Ste 106
Skokie, IL 60076-2154
Phone (847) 423-2625

National Provider Directory

National Provider Directory

Locations

8254 Kimball Ave
Skokie, IL 60076
Phone (847) 423-2625

7542 Saint Louis Ave
Skokie, IL 60076
Phone (847) 752-0184

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1366761769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2625",
            "fax_number": "847-737-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2625",
            "fax_number": "847-737-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE THERAPY & HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-423-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.