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SOUTH SIDE REJUVENATION LLC
NPI 1386418184
Nurse Practitioner - Family in Tinley Park, IL

Active since November 13, 2023
17749 65TH AVE, TINLEY PARK, IL 60477(708) 670-2576 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Side Rejuvenation Llc NPPES

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

SOUTH SIDE REJUVENATION LLC (NPI 1386418184) is a healthcare organization registered as a family in Tinley Park, Illinois and active in the NPI registry since November 2023. The organization lists Alicia Belcher, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1386418184
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTH SIDE REJUVENATION LLC
Location Address17749 65TH AVETinley Park, IL 60477-4370
Mailing Address17749 65th AveTinley Park, IL 60477-4370 · (708) 670-2576
Phone(708) 670-2576
Organization SubpartNo
Authorized OfficialAlicia BelcherFamily Nurse Practitioner · (708) 670-2576
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 12, 2023
✔ NPI 1386418184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
17749 65TH AVE, Tinley Park, IL 60477
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WELLNESS SOCIETY LLC
Chiropractor
17749 65TH AVE
TINLEY PARK, IL 60477
Cook County (708) 670-2576

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 South Side Rejuvenation LLC's NPI number?

The NPI number for South Side Rejuvenation LLC is 1386418184. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is South Side Rejuvenation LLC located?

South Side Rejuvenation LLC is located at 17749 65th Ave, Tinley Park, IL 60477. The listed phone number is (708) 670-2576.

What is South Side Rejuvenation LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for South Side Rejuvenation LLC was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.