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REJUV CHAMPAIGN PC
NPI 1356601629
Clinic/Center in Champaign, IL

Active since May 21, 2012
606 NORTH COUNTY FAIR DRIVE, A, CHAMPAIGN, IL 61820(217) 607-0762 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rejuv Champaign Pc NPPES

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

REJUV CHAMPAIGN PC (NPI 1356601629) is a healthcare organization registered as a clinic/center in Champaign, Illinois and active in the NPI registry since May 2012. The organization lists Shawn Christopher Snider, Owner, as its authorized official.

NPPES Registry Identity

NPI1356601629
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREJUV CHAMPAIGN PC
Location Address606 NORTH COUNTY FAIR DRIVE, AChampaign, IL 61820
Mailing Address405 N Hershey RdBloomington, IL 61704-3527 · (309) 662-3002
Phone(217) 607-0762
Organization SubpartNo
Authorized OfficialShawn Christopher SniderOwner · (309) 678-4243
Enumeration DateMay 21, 2012
✔ NPI 1356601629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 209005824
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
606 NORTH COUNTY FAIR DRIVE, Champaign, IL 61820
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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 Champaign PC's NPI number?

The NPI number for Rejuv Champaign PC is 1356601629. It was assigned to this organization in the NPPES registry on May 21, 2012.

Where is Rejuv Champaign PC located?

Rejuv Champaign PC is located at 606 North County Fair Drive A, Champaign, IL 61820. The listed phone number is (217) 607-0762.

What is Rejuv Champaign PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Rejuv Champaign PC was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.