Active NPI
RL Group
Doing business as Reinvent Life Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
National Provider Identifier
1376102814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RL GROUP
- Doing business as
- Reinvent Life Treatment Center
- Practice address
- 2008 N Lawler Ave
Chicago, IL 60639-3136 - Phone
- (708) 860-1201
- Fax
- (708) 221-6679
- NPI assigned
- Jun 9, 2019
- Last updated
- Nov 19, 2020
- 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
- Ms. Lynn Fields Tyler
- Title
- Manager
- Phone
- (708) 860-1201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2008 N Lawler Ave
Chicago, IL 60639-3136
Mailing address
511 Manistee Ave
Calumet City, IL 60409-3311
Phone (708) 860-1201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20191009481556 | Medicaid | IL | |
| A-2560-0001-A | Other | IL | STATE OF ILLINOIS LEVEL 1 AND 2 LICENSE |
| F100604483 | Other | IL | MEDICARE |
Other names 1
- Reinvent Life Treatment Center
National Provider Directory
National Provider DirectoryLocations
2008 N Lawler Ave
Chicago, IL 60639
Phone (312) 837-3335
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1003437450
-
- Professional Counselor
- Chicago, IL
- NPI 1871114215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605744000000",
"number": "1376102814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MANISTEE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604093311",
"telephone_number": "708-860-1201",
"fax_number": "708-221-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 N LAWLER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606393136",
"telephone_number": "708-860-1201",
"fax_number": "708-221-6679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-09",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A",
"authorized_official_last_name": "FIELDS TYLER",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "708-860-1201",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20191009481556",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS LEVEL 1 AND 2 LICENSE",
"identifier": "A-2560-0001-A",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F100604483",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reinvent Life Treatment Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Reinvent Life Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.