Organization Active NPI

Rejuveinate of Illinois PLLC

  • Infusion Therapy Clinic/Center
  • Skokie, IL
National Provider Identifier
1942908694
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.