NPIMap

Organization Active NPI

Revive Treatment Center - Lake Zurich LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Zurich, IL
National Provider Identifier
1942182662
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REVIVE TREATMENT CENTER - LAKE ZURICH LLC
Practice address
365 Surryse Rd Ste 120
Lake Zurich, IL 60047-2679
Phone
(847) 320-1133
Fax
(312) 757-6869
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Aron Friedman
Title
Director of Business Development
Phone
(847) 220-8884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

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

Mailing address

365 Surryse Rd Ste 120
Lake Zurich, IL 60047-2679
Phone (847) 320-1133

National Provider Directory

National Provider Directory
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.

Locations

365 Surryse Rd
Ste 120
Lake Zurich, IL 60047
Phone (847) 320-1133

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1942182662",
    "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": "847-320-1133",
            "fax_number": "312-757-6869"
        },
        {
            "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": "847-320-1133",
            "fax_number": "312-757-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE TREATMENT CENTER - LAKE ZURICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "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": "847-220-8884"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.