Organization Active NPI

Relive Physician Services LLC

  • Sports Medicine (Internal Medicine) Physician
  • Glenview, IL
National Provider Identifier
1659874261
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
RELIVE PHYSICIAN SERVICES LLC
Practice address
333 Waukegan Rd Ste G
Glenview, IL 60025-5122
Phone
(815) 227-4616
NPI assigned
Mar 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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

Authorized official

Name
Eliza Pierko, MD
Title
Owner
Phone
(815) 227-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

333 Waukegan Rd Ste G
Glenview, IL 60025-5122

Mailing address

19070 Everett Blvd Unit 206
Mokena, IL 60448-2073

National Provider Directory

National Provider Directory

Locations

333 Waukegan Rd
Ste G
Glenview, IL 60025
Phone (815) 227-4616

19070 Everett Blvd
Unit 206
Mokena, IL 60448
Phone (708) 610-8951

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520640000000",
    "number": "1659874261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 EVERETT BLVD UNIT 206",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WAUKEGAN RD STE G",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255122",
            "telephone_number": "815-227-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVE PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A",
        "authorized_official_last_name": "PIERKO",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-227-4616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

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