Rejuv Rolling Meadows PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036095342 Issued in IL

Legal business name

REJUV ROLLING MEADOWS PC

Practice address

3501 Algonquin Rd
Rolling Meadows, IL 60008-3103

Phone

(847) 457-4378

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Shawn Christopher Snider, CNP

Title

Owner

Phone

(309) 678-4243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1386904845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OAK VALLEY DR",
            "city": "GOODFIELD",
            "state": "IL",
            "postal_code": "617429502",
            "telephone_number": "309-678-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ALGONQUIN RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083103",
            "telephone_number": "847-457-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUV ROLLING MEADOWS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-678-4243",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036095342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Quesada, APRN
• Joseph Zillur Rahman, APN
• Maria Rattin, COTA/L
• Violet Ray, MS
• Janice D Reinersman, LCSW
• Reliance Home Health Care, Inc.
• Jessica Marie Renteria
• Christopher Michael Rivard, MD
• Jesus Rivera III
• RNC Management, LLC (Enlight Homecare Services)

• Clinic/Center in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.