NPIMap

Organization Active NPI

Revive Treatment Center - Lake Zurich LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Zurich, IL
National Provider Identifier
1598683906
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
REVIVE TREATMENT CENTER - LAKE ZURICH LLC
Practice address
365 Surryse Rd Ste 120
Lake Zurich, IL 60047-2679
Phone
(224) 662-4090
NPI assigned
Jul 6, 2026
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Aron Friedman
Title
Vice President
Phone
(847) 220-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

365 Surryse Rd Ste 120
Lake Zurich, IL 60047-2679

Mailing address

365 Surryse Rd Ste 120
Lake Zurich, IL 60047-2679
Phone (224) 662-4090

National Provider Directory

National Provider Directory
Tax ID family
Revive Treatment Center - Lake Zurich LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1598683906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 SURRYSE RD STE 120",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472679",
            "telephone_number": "224-662-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SURRYSE RD STE 120",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472679",
            "telephone_number": "224-662-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE TREATMENT CENTER - LAKE ZURICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-220-2438"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.