Rejuvenetics, LTD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

03655851 Issued in IL

Legal business name

REJUVENETICS, LTD

Practice address

137 N Oak Park Ave
Ste 208
Oak Park, IL 60301-1344

Phone

(708) 383-4444

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne L Burnett, M.D.NPI 1609078039

Title

Pres/Owner

Phone

(708) 383-4444

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.

• Yvonne L Burnett, MD

  • Public Health & General Preventive Medicine Physician
  • Oak Park, IL
  • NPI 1609078039
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1417148685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "STE 208",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-383-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "STE 208",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-383-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENETICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "708-383-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "03655851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Nora Reilly, LCSW
• Lynn Reisberg, FNP-C
• David Orion Reisinger, D.M.D.
• Gene A Reisinger, DDS
• Shane Michael Reister, PSY.D.
• Relate Psychological Services LLC
• Relationship Counseling & Psychotherapy Services
• Resilience Healthcare - Lakefront Medical Associates, LLC (Chicago Health Medical Group)
• Resilience Healthcare - West Suburban Medical Center, LLC (West Suburban Medical Center)
• Resilience Healthcare- Lakefront Medical Associates, LLC (Chicago Health Medical Group)

• Medical Specialty Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.