Restore 3:16, LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

RESTORE 3:16, LLC

Practice address

16060 Oak Park Ave Ste 110
Tinley Park, IL 60477-1626

Phone

(708) 360-1630

NPI assigned

Feb 2, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Delfanita Ellen Warren, HAIR LOSS SPECIALISTNPI 1609416304

Title

Ceo

Phone

(708) 316-1630

Specialties & licenses 1

Addresses

Other names 1

• RESTORE 3:16,LLC Doing business as

Locations

Practitioners 1

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

• Delfanita Ellen Warren, HAIR LOSS SPECIALIST

  • Durable Medical Equipment & Medical Supplies
  • Tinley Park, IL
  • NPI 1609416304
  NPD Authorized official

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1851856983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST STE 474",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-316-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16060 OAK PARK AVE STE 110",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771626",
            "telephone_number": "708-360-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE 3:16, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DELFANITA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-316-1630",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESTORE 3:16,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Loraine Rehlinger, DPT
• Reidy Medical Pharmacy
• Duane P Reidy, RPH
• Joanna Reinecke, HIS
• Monika Helena Remiasz
• Retri Performance
• Ramil Arinas Reyes, PT, NASM-CES
• Stuart S Rich, M.D.
• Peggy A Richardson, DDS MS
• Sharron A. Ridgenal

• Prosthetics Case Management in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Prosthetics Case Management in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.