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MODERNMED RECOVERY, LLC
NPI 1649081548
Clinic/Center - Rehabilitation, Substance Use Disorder in Park Ridge, IL

Active since January 20, 2025
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068(847) 423-6800 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modernmed Recovery, Llc NPPES

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

MODERNMED RECOVERY, LLC (NPI 1649081548) is a healthcare organization registered as a rehabilitation, substance use disorder in Park Ridge, Illinois and active in the NPI registry since January 2025. The organization lists Ian Gershman, Senior Consultant, as its authorized official.

NPPES Registry Identity

NPI1649081548
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMODERNMED RECOVERY, LLC
Location Address111 S WASHINGTON AVE STE 202Park Ridge, IL 60068-4293
Mailing Address111 S Washington Ave Ste 202Park Ridge, IL 60068-4293 · (847) 423-6800
Phone(847) 423-6800
Organization SubpartNo
Authorized OfficialIan GershmanSenior Consultant · (609) 703-5006
Enumeration DateJanuary 20, 2025
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1649081548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
111 S WASHINGTON AVE STE 202, Park Ridge, IL 60068
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Other Providers at the Same Location NPPES 6

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

KENKO INTERVENTIONS
Psychologist (Clinical)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (872) 228-5326
LAURALEA THOMAS NP
Nurse Practitioner (Family)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (847) 423-6800
THE MINDFUOL METHOD, PLLC
Counselor (Mental Health)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (224) 279-1060
EAGLIN AND ASSOCIATES COUNSELING, LTD.
Clinic/Center (Rehabilitation, Substance Use Disorder)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (847) 881-6316
ALISON MICHELLE MAYER MS
Counselor (Mental Health)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (224) 279-1060
DR. KENNETH KIKUCHI PSY.D.
Psychologist (Clinical)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (872) 228-5326

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 Modernmed Recovery, LLC's NPI number?

The NPI number for Modernmed Recovery, LLC is 1649081548. It was assigned to this organization in the NPPES registry on January 20, 2025.

Where is Modernmed Recovery, LLC located?

Modernmed Recovery, LLC is located at 111 S Washington Ave Ste 202, Park Ridge, IL 60068. The listed phone number is (847) 423-6800.

What is Modernmed Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Modernmed Recovery, LLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.