REMEDIES RENEWING LIVES (NPI# 1487120143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487120143 |
| Entity Type | Organization |
| Organization Name | REMEDIES RENEWING LIVES |
| Practice Address |
1908 Pierce Ct Belvidere IL 61008-1742 |
| Mailing Address |
220 Easton Pkwy Rockford IL 61108-2203 |
| Practice Telephone | 8155474502 |
| Practice Fax Number | 8155440391 |
| Mailing Telephone | 8159661285 |
| Mailing Fax Number | 8159627895 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | KATHY S. BRANNING (VP OF MARKETING/FUND DEVELOPMENT) |
| Authorized Official Telephone | 8159661285 |
| Authorized Official Credential | M.S., LCPC, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1720259401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558587824 | Remedies Renewing Lives | Clinic/Center | 220 Easton Pkwy, Rockford, IL 61108 | 2007-04-17 |
| 1114493772 | Remedies Renewing Lives | Clinic/Center | 220 Easton Pkwy, Rockford, IL 61108-2203 | 2018-10-22 |
| 1720259401 | Remedies Renewing Lives | Clinic/Center | 1908 Pierce Ct, Belvidere, IL 61008 | 2008-03-20 |
| Street Address |
1908 PIERCE CT |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093750754 | Wedad Khedr | Pediatrics | 1908 Pierce Ct, Belvidere, IL 61008-1742 | 2006-06-18 |
| 1720259401 | Remedies Renewing Lives | Clinic/Center | 1908 Pierce Ct, Belvidere, IL 61008 | 2008-03-20 |
| 1326216078 | Wedad Khedr, Md Ltd | Pediatrics | 1908 Pierce Ct, Belvidere, IL 61008-1742 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| Find all providers in zip 61008 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346521630 | Rosecrance, Inc. | Clinic/Center | 915 Alexandra Dr, Belvidere, IL 61008-6512 | 2011-08-31 |
| 1518568062 | David Kushner Do PC | Clinic/Center | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-11-02 |
| 1245525583 | Janet Wattles Center | Clinic/Center | 475 Southtowne Dr, Belvidere, IL 61008-5643 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.