Lake Forest Regenesis Medical Center, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAKE FOREST REGENESIS MEDICAL CENTER, PLLC

Practice address

1025 W Everett Rd Ste 2
Lake Forest, IL 60045-2668

Phone

(224) 436-8006

Fax

(949) 703-8371

NPI assigned

Feb 7, 2025

Last updated

Feb 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Allana Kathleen Bush, FNP-CNPI 1972189975

Title

FNP-C

Phone

(224) 436-8006

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allana Kathleen Bush, NP-C, RN

  • Nurse Practitioner
  • Lake Forest, IL
  • NPI 1972189975
  NPD Authorized official

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1871308999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W EVERETT RD STE 2",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452668",
            "telephone_number": "224-436-8006",
            "fax_number": "949-703-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W EVERETT RD STE 2",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452668",
            "telephone_number": "224-436-8006",
            "fax_number": "949-703-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST REGENESIS MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ALLANA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "224-436-8006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Forest Obstetrics Gynecology & Infertility S.C.
• Lake Forest Pediatic Dentistry, PC
• Lake Forest Pediatric Associates, LTD
• Lake Forest Place, LLC
• Lake Forest Plastic Surgery LTD.
• Lake Forest School District 67
• Lake Shore Pediatrics, LTD
• Christopher R. Lang, MD
• Sanford L Lapin, MD
• Nicholas Larkin, LCPC, LMHC, RN

• Clinic/Center in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.