BRIGHTLIFE REGENERATIVE MEDICAL CLINIC LOMBARD SC


Address: 442 E Roosevelt Rd, Lombard, IL 60148-4630
Phone: 6302610001

BRIGHTLIFE REGENERATIVE MEDICAL CLINIC LOMBARD SC (NPI# 1306465786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306465786
Entity Type Organization
Organization Name BRIGHTLIFE REGENERATIVE MEDICAL CLINIC LOMBARD SC
Practice Address 442 E Roosevelt Rd
Lombard
IL 60148-4630
Practice Telephone 6302610001
Mailing Telephone 6302610001
Enumeration Date 2020-04-15
Last Update Date 2020-04-17
Authorized Official Name STEVEN BURLISON (PRESIDENT)
Authorized Official Telephone 6302610001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 442 E ROOSEVELT RD
City LOMBARD
State IL
Zip Code 60148-4630

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336778919 Alish Kuply Pharmacist 2050 S Finley Rd Suite 20, Lombard, IL 60148 2020-04-06
1114567880 Danielle Slansky Speech-Language Pathologist 401 N. Main St, Lombard, IL 60148 2020-01-10
1245715572 Ellen Mary Corey Behavior Technician 627 S Grace St., Lombard, IL 60148 2018-10-02
1194204461 Vip 2u, Inc Internal Medicine 477 E Butterfield Rd Ste 400, Lombard, IL 60148 2018-08-08
1881185684 Samantha Lanagan Behavior Technician 21 W 356 Sidney Ave, Lombard, IL 60148 2018-05-29
1629570114 Iris Victoria Goss Hearing Instrument Specialist 412 E. Roosevelt Rd, Lombard, IL 60148 2018-03-01
1780102350 Richard Wong Dentist 845 S. Main St #300, Lombard, IL 60148 2017-09-05
1033637038 Lora Lea Biesenkamp Counselor 450 E 22nd St Ste 150-17, Lombard, IL 60148 2017-08-30
1609392836 Shafiq Ur Rehman Specialist/Technologist, Other 2005 South Finley Rd Unit 1012, Lombard, IL 60148 2017-08-18
1033642715 Great Lakes Living Solutions Corp. Home Health 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 2017-04-09
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285068957 We Care Physicians Inc General Practice 510 W Madison St, Lombard, IL 60148-3253 2013-08-29
1003136961 Stephen Cheukwan Lau General Practice 18 E. 22nd St., Lombard, IL 60148 2010-06-02
1487769196 Center for Integral Health, LLC General Practice 400 E 22nd St, Lombard, IL 60148-6104 2006-08-20
1720353394 Integrated Health Care Providers LLC General Practice 18w511 Roosevelt Rd, Lombard, IL 60148-4184 2012-03-15
1689755795 Joel Robert Shepperd General Practice 400 E 22nd St, Suite F, Lombard, IL 60148-6104 2006-10-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538775192 Discover Integrated Medical Center, Ltd. General Practice 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 2020-09-18
1154946903 Wound Pros Illinois General Practice 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 2020-06-08
1851920524 Sahens Mezidor General Practice 228 Ridge Ave Apt G, Evanston, IL 60202-6409 2020-04-05
1447881487 Tyrian Healthcare Solutions, LLC General Practice 2120 W Heading Ave, West Peoria, IL 61604-5138 2020-01-29
1598302077 Enhance Medical LLC General Practice 1193 N Gary Ave, Carol Stream, IL 60188-9423 2019-12-04
1164067054 League Corp. General Practice 515 N State St Fl 8, Chicago, IL 60654-9102 2019-11-14
1679129977 Chronic Care Solutions LLC General Practice 3050 W Columbia Ave, Chicago, IL 60645-4006 2019-08-13
1205393972 Midwest Medical LLC General Practice 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 2019-02-28
1306311725 Genesis Integrative Medicine LLC General Practice 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 2018-10-11
1982189395 Saint Louis Home Health Care Inc General Practice 739 E Independence Dr, Palatine, IL 60074-1959 2018-10-02
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Competitor

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City LOMBARD
Zip Code 60148

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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