Active NPI
Rejuveinate of Illinois PLLC
- Infusion Therapy Clinic/Center
- Skokie, IL
National Provider Identifier
1942908694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- REJUVEINATE OF ILLINOIS PLLC
- Practice address
- 4711 Golf Rd Ste 100
Skokie, IL 60076-1239 - Phone
- (443) 414-8201
- Fax
- (973) 860-0857
- NPI assigned
- Feb 22, 2023
- Last updated
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Lehman, MD
- Title
- Owner
- Phone
- (443) 414-8201
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
4711 Golf Rd Ste 100
Skokie, IL 60076-1239
Mailing address
28 Heights Rd
Clifton, NJ 07012-1215
Phone (443) 414-8201
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Anesthesiology Physician
- Saddle Brook, NJ
- NPI 1477797132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1942908694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 HEIGHTS RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121215",
"telephone_number": "443-414-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD STE 100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761239",
"telephone_number": "443-414-8201",
"fax_number": "973-860-0857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVEINATE OF ILLINOIS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "LEHMAN",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-414-8201",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.