Lifestyle Rejuvenation Medical Group PLLC is a Multi-Specialty Clinic/Center (organization) practicing in Chicago, Illinois. The National Provider Identifier (NPI) is #1134781974, which was assigned on July 2, 2019, and the registration record was last updated on May 29, 2020. The practitioner's main practice location is at 1740 E 55th Street, Chicago, IL 60615; the contact telephone number is 7736679053. The primary taxonomy of Lifestyle Rejuvenation Medical Group PLLC is Multi-Specialty Clinic/Center (261QM1300X), with specialization in Multi-Specialty. The authorized official for Lifestyle Rejuvenation Medical Group PLLC is Dr. Robert Van Higginbottom (Ceo).
NPI | 1134781974 |
Entity Type | Organization |
Organization Name | LIFESTYLE REJUVENATION MEDICAL GROUP PLLC |
Provider Name | LIFESTYLE REJUVENATION MEDICAL GROUP PLLC |
Practice Address |
1740 E 55th Street Chicago IL 60615 |
Practice Telephone | 7736679053 |
Mailing Address |
1740 E 55th St Chicago IL 60615-5966 |
Mailing Telephone | 7736679053 |
Certification Date | 2020-05-29 |
Enumeration Date | 2019-07-02 |
Last Update Date | 2020-05-29 |
Is Organization Subpart | N |
Official Name | DR. ROBERT VAN HIGGINBOTTOM |
Official Title | CEO |
Credential | DC |
Telephone | 7736679053 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 193200000X MULTI-SPECIALTY GROUP | |||
N | 111NR0400X | Chiropractor | Rehabilitation | 193200000X MULTI-SPECIALTY GROUP | ||
N | 261QH0100X | Clinic/Center | Health Service | |||
Y | 261QM1300X | Clinic/Center | Multi-Specialty | |||
N | 261QM2500X | Clinic/Center | Medical Specialty | |||
N | 261QP2000X | Clinic/Center | Physical Therapy | |||
N | 261QP2300X | Clinic/Center | Primary Care | |||
N | 261QP3300X | Clinic/Center | Pain | |||
N | 261QR0200X | Clinic/Center | Radiology | |||
N | 261QR0400X | Clinic/Center | Rehabilitation | |||
N | 261QR0800X | Clinic/Center | Recovery Care | |||
N | 302R00000X | Health Maintenance Organization | ||||
N | 305R00000X | Preferred Provider Organization | ||||
N | 305S00000X | Point of Service | ||||
N | 332B00000X | Durable Medical Equipment & Medical Supplies |
Address | Telephone | Fax |
---|---|---|
1746 E 55th St, Chicago, IL 606155966 | 7736679053 | |
1746 E 55th St, Chicago, IL 606155966 | 7736679053 ext. |
Code | 261QM1300X |
Taxonomy | Multi-Specialty Clinic/Center |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Code | 111N00000X |
Taxonomy | Chiropractor |
Classification | Chiropractor |
Grouping | Chiropractic Providers |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
Code | 111NR0400X |
Taxonomy | Rehabilitation Chiropractor |
Classification | Chiropractor |
Specialization | Rehabilitation |
Grouping | Chiropractic Providers |
Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
Code | 261QH0100X |
Taxonomy | Health Service Clinic/Center |
Classification | Clinic/Center |
Specialization | Health Service |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Notes: [7/1/2006: modified title] |
Code | 261QM2500X |
Taxonomy | Medical Specialty Clinic/Center |
Classification | Clinic/Center |
Specialization | Medical Specialty |
Grouping | Ambulatory Health Care Facilities |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
Code | 261QP2000X |
Taxonomy | Physical Therapy Clinic/Center |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Grouping | Ambulatory Health Care Facilities |
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. |
Notes: Source: Guide to PT Practice 3.0 [1/1/2020: definition added] Additional resources: http://guidetoptpractice.apta.org/ ; American Physical Therapy Association, www.apta.org. |
Code | 261QP2300X |
Taxonomy | Primary Care Clinic/Center |
Classification | Clinic/Center |
Specialization | Primary Care |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Code | 261QP3300X |
Taxonomy | Pain Clinic/Center |
Classification | Clinic/Center |
Specialization | Pain |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Code | 261QR0200X |
Taxonomy | Radiology Clinic/Center |
Classification | Clinic/Center |
Specialization | Radiology |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Code | 261QR0400X |
Taxonomy | Rehabilitation Clinic/Center |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Code | 261QR0800X |
Taxonomy | Recovery Care Clinic/Center |
Classification | Clinic/Center |
Specialization | Recovery Care |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Code | 302R00000X |
Taxonomy | Health Maintenance Organization |
Classification | Health Maintenance Organization |
Grouping | Managed Care Organizations |
Definition: (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
Code | 305R00000X |
Taxonomy | Preferred Provider Organization |
Classification | Preferred Provider Organization |
Grouping | Managed Care Organizations |
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
Code | 305S00000X |
Taxonomy | Point of Service |
Classification | Point of Service |
Grouping | Managed Care Organizations |
Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
Code | 332B00000X |
Taxonomy | Durable Medical Equipment & Medical Supplies |
Classification | Durable Medical Equipment & Medical Supplies |
Grouping | Suppliers |
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Premise Health of California Medical, P.c | 20263 S Western Ave, Torrance, CA 90501-1310 | Multi-Specialty Clinic/Center | 2024-02-27 |
Premise Health of Missouri Medical, P.C. | 201 Ne Mulberry St, Lees Summit, MO 64086-5881 | Multi-Specialty Clinic/Center | 2024-03-06 |
J9 Medical Management LLC | 11861 S Sam Houston Pkwy W Ste A, Houston, TX 77031-2362 | Multi-Specialty Clinic/Center | 2024-03-04 |
Medcall Medical | 1255 W Baseline Rd Ste B-260, Mesa, AZ 85202-5820 | Multi-Specialty Clinic/Center | 2024-02-26 |
True North Counseling, LLC | 8910 Greeneway Commons Pl, Louisville, KY 40220-4065 | Multi-Specialty Clinic/Center | 2024-03-08 |
Embracing Authenticity Inc | 95 Golf Course Rd Ste 105, Logan, UT 84321-5990 | Multi-Specialty Clinic/Center | 2024-03-07 |
Hillstone Medical Group Inc | 8631 W 3rd St Ste 1115e, Los Angeles, CA 90048-5901 | Multi-Specialty Clinic/Center | 2024-02-23 |
Centennial Housing & Community Services Corporation | 104 Medical Dr, Williamston, NC 27892-2156 | Multi-Specialty Clinic/Center | 2024-03-07 |
Clear Choices, LLC | 373 Cleveland St, Rochester, PA 15074-1623 | Multi-Specialty Clinic/Center | 2024-02-23 |
Mhn Infusions Group LLC | 1369 E Hyde Park Blvd Unit G1, Chicago, IL 60615-2918 | Multi-Specialty Clinic/Center | 2024-02-29 |
Find all providers with the same taxonomy |
Street Address |
1740 E 55TH STREET |
City | CHICAGO |
State | IL |
Zip Code | 60615 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Heather Collins | 4943 S Saint Lawrence Ave, Unit 2, Chicago, IL 60615 | Mental Health Counselor | 2023-01-20 |
Connie Frances Davis | 5481 S. Cornell, Chicago, IL 60615 | Massage Therapist | 2020-08-17 |
Jonah Waseberg | 1100 E.55th St, Chicago, IL 60615 | Professional Counselor | 2017-09-21 |
Highland Park Cvs, L.L.C. · Cvs Pharmacy #17686 | 1346 E 53rd St., Chicago, IL 60615 | Durable Medical Equipment & Medical Supplies | 2016-10-13 |
Redefine You Therapy and Consultation | 5113 S Harper Ave Suite 2c, Chicago, IL 60615 | Counselor | 2022-10-17 |
Nivea Lathan | 1510 E. 55th, Chicago, IL 60615 | Occupational Therapist | 2020-04-03 |
Cook County · Provident Dialysis Center | 430 East 51st Pl, Chicago, IL 60615 | Renal Dialysis Technician | 2022-03-08 |
Theodore Tran | 430 E. 50th Place, Chicago, IL 60615 | Pharmacist | 2016-09-22 |
Courtney Leniece Reed | 1228 E 53rd Street, Chicago, Chicago, IL 60615 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2022-10-31 |
Melissa Guzicki | 1520 North Kostn, Near North Health Center -North Kostner, Chicago, IL 60615 | Mental Health Counselor | 2016-08-31 |
Find all providers in the same zip code |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
First Light Lifestyle Medical Clinic PLLC | 30 7th St W Ste Ll-50, Dickinson, ND 58601-4335 | Family Medicine Physician | 2022-10-12 |
Lifestyle Medical Group PLLC | 14885 Southwest Fwy, Sugar Land, TX 77478-5016 | Obstetrics & Gynecology Physician | 2016-10-12 |
Lifestyle Hospice Foundation, Inc. · Lifestyle Home Medical Supply | 2390 Sw 4th Ave, Ontario, OR 97914-1852 | Durable Medical Equipment & Medical Supplies | 2012-05-02 |
Woman Rejuvenation PLLC | 5373 W Alabama St Ste 204, Houston, TX 77056-5923 | Specialist | 2010-01-12 |
Reflexion Medical Rejuvenation Center PLLC | 14815 W Bell Rd Ste 104, Surprise, AZ 85374-7603 | General Practice Physician | 2019-08-21 |
Joint Rejuvenation Center, PLLC | 2724 Yale St, Houston, TX 77008-2120 | Plastic and Reconstructive Surgery Physician | 2018-01-08 |
Medical Ayurveda Rejuvenation Center A Medical Corporation | 355 Placentia Ave, Suite 201, Newport Beach, CA 92663-3311 | Health Service Clinic/Center | 2007-03-06 |
Lifestyle Healthcare, PLLC · Lifestyle Chiropractic and Massage, PLLC | 134 Keene Rd, Richland, WA 99352-8683 | Chiropractor | 2013-11-18 |
Lifestyle Medical Center, PLLC | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | General Practice Physician | 2017-09-27 |
Lifestyle Medical Group, PLLC · The Center for Natural Medicine | 4535 Harding Pike Ste 210, Nashville, TN 37205-2120 | Internist Chiropractor | 2008-01-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |