REJUVENATE THERAPY & HEALTHCARE, INC (NPI# 1932767803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932767803 |
| Entity Type | Organization |
| Organization Name | REJUVENATE THERAPY & HEALTHCARE, INC |
| Practice Address |
8401 Crawford Ave Ste 106 Skokie IL 60076 |
| Mailing Address |
8401 Crawford Ave Ste 106 Skokie IL 60076-2154 |
| Practice Telephone | 8474232625 |
| Practice Fax Number | 8477871663 |
| Mailing Telephone | 8474232625 |
| Mailing Fax Number | 8477871663 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MR. ALAN WEISSMAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 8474232625 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8254 Kimball Ave, Skokie, IL 600762918 | 8474232625 | 8477871663 |
| Street Address |
8401 CRAWFORD AVE STE 106 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366761769 | Rejuvenate Therapy & Healthcare | Social Worker | 8401 Crawford Ave Ste 106, Skokie, IL 60076-2154 | 2010-05-25 |
| 1093226656 | Elizabeth Macafee | Social Worker | 8401 Crawford Ave Ste 106, Skokie, IL 60076-2154 | 2017-10-22 |
| 1225330277 | John Alan Black | Social Worker | 8401 Crawford Ave Ste 106, Skokie, IL 60076-2154 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| 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 |
|---|---|---|---|---|
| 1336787662 | Meira Katzoff Lcsw, LLC | Clinic/Center | 4905 Old Orchard Ctr Ste 510, Skokie, IL 60077-4736 | 2019-12-17 |
| 1417598376 | Orchard Village | Clinic/Center | 7660 Gross Point Rd, Skokie, IL 60077-2613 | 2019-10-02 |
| 1801273446 | Behavioral Services Center | Clinic/Center | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 | 2015-05-04 |
| 1497035547 | Jessica M. Brown, Psy.d., LLC | Clinic/Center | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2011-08-22 |
| 1750671558 | Jewish Child and Family Services | Clinic/Center | 5150 Golf Rd, Skokie, IL 60077-1283 | 2011-04-13 |
| 1124298666 | Metropolitan Family Services | Clinic/Center | 5210 Main St, Skokie, IL 60077-2158 | 2008-03-11 |
| 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.