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LIFERX
NPI 1104186667
Clinic/Center - Health Service in Bloomington, IL

Active since May 17, 2012
405 N HERSHEY RD, BLOOMINGTON, IL 61704(309) 622-3002(309) 263-4611 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Liferx NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFERX (NPI 1104186667) is a healthcare organization registered as a health service in Bloomington, Illinois and active in the NPI registry since May 2012. The organization lists Shawn Christopher Snider, Owner, as its authorized official.

NPPES Registry Identity

NPI1104186667
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameREJUV INTEGRATIVE MEDICAL PRACTICE SHAWN C SNIDER
Location Address405 N HERSHEY RDBloomington, IL 61704-3527
Mailing Address405 N Hershey RdBloomington, IL 61704-3527 · (309) 622-3002 · Fax (309) 263-4611
Phone(309) 622-3002
Fax(309) 263-4611
Organization SubpartNo
Authorized OfficialShawn Christopher SniderOwner · (309) 622-3002
Enumeration DateMay 17, 2012
✔ NPI 1104186667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in IL · 036.110856
405 N HERSHEY RD, Bloomington, IL 61704
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Other Names 1

Doing Business AsLiferx

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REJUV CENTRAL PC
Clinic/Center
405 N HERSHEY RD
BLOOMINGTON, IL 61704
McLean County (309) 662-3002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rejuv Integrative Medical Practice Shawn C Snider's NPI number?

The NPI number for Rejuv Integrative Medical Practice Shawn C Snider is 1104186667. It was assigned to this organization in the NPPES registry on May 17, 2012. The provider is doing business as Liferx.

Where is Rejuv Integrative Medical Practice Shawn C Snider located?

Rejuv Integrative Medical Practice Shawn C Snider is located at 405 N Hershey Rd, Bloomington, IL 61704. The listed phone number is (309) 622-3002.

What is Rejuv Integrative Medical Practice Shawn C Snider's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Rejuv Integrative Medical Practice Shawn C Snider was last updated on May 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.