Revive Treatment Center - Lake Zurich LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

REVIVE TREATMENT CENTER - LAKE ZURICH LLC

Practice address

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

Phone

(847) 220-2438

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Aron Friedman

Title

Director of Business Development

Phone

(847) 220-2438

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Opioid treatment program

Medicare-enrolled since Aug 11, 2025

Enrollment records 1

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.

• Revive Treatment Center - Lake Zurich LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Zurich, IL
  • NPI 1598683906
  NPD tax ID
• Revive Treatment Center - Lake Zurich LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Zurich, IL
  • NPI 1942182662
  NPD tax ID

Practitioners 1

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

• Rochelle L Hawkins, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1306899372
  NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1700656931",
    "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": "847-220-2438"
        },
        {
            "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": "847-220-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE TREATMENT CENTER - LAKE ZURICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "847-220-2438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rci (WRS), LLC.
• Beata Redlicki
• Rehab Care
• Renova Counseling LLC
• Revive Treatment Center - Lake Zurich LLC
• Revive Treatment Center - Lake Zurich LLC
• Toni Stapley Rey, LCSW
• Anel Ribo, PHARM D
• Wayne Kenneth Riendeau, LPC
• Laura Ann Rierson, MOT, OTR/L

• Methadone Clinic in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Methadone Clinic in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.