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
- 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
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 DirectoryNPI 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.