Organization Active NPI

Elise E. Rehn, MD, LLC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1699179028
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036121459 Issued in IL
Legal business name
ELISE E. REHN, MD, LLC
Practice address
25 E Washington St
#1008
Chicago, IL 60602-1708
Phone
(312) 640-7727
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Elise RehnNPI 1104082791
Title
MD
Phone
(312) 640-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036121459 IL Primary

Addresses

Primary practice location

25 E Washington St
#1008
Chicago, IL 60602-1708

Mailing address

25 E Washington St
#1008
Chicago, IL 60602-1708

National Provider Directory

National Provider Directory

Locations

25 E Washington St
Ste 1008
Chicago, IL 60602
Phone (312) 640-7727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1699179028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "#1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "#1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-640-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE E. REHN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "REHN",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "312-640-7727"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036121459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 2014; 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.