South Side Rejuvenation Llc

LBN: South Side Rejuvenation Llc
South Side Rejuvenation Llc is an health care organization with primary practice located at 17749 65Th Ave , Tinley Park IL 60477-4370. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. South Side Rejuvenation Llc can be contacted via phone (708) 670-2576, or through Belcher, Alicia via phone (708) 670-2576.

Contact Information

Primary practice address
17749 65Th Ave Tinley Park IL 60477-4370
Phone: (708) 670-2576
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Belcher, Alicia Advanced Practice Registered Nurse (APRN)
Phone: (708) 670-2576

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1386418184
LBN Legal business name South Side Rejuvenation Llc
DBA Doing business as
Authorized official Belcher, Alicia Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2023
Last updated Nov 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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