LAKE FOREST REGENESIS MEDICAL CENTER, PLLC
NPI 1871308999
Clinic/Center in Lake Forest, IL

Q: What is Lake Forest Regenesis Medical Center, PLLC's specialty?

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

Active since February 07, 2025CLIA 14D2341426 · Waiver

1025 W EVERETT RD STE 2, LAKE FOREST, IL 60045(224) 436-8006(949) 703-8371 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Forest Regenesis Medical Center, Pllc NPPES

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

LAKE FOREST REGENESIS MEDICAL CENTER, PLLC (NPI 1871308999) is a healthcare organization registered as a clinic/center in Lake Forest, Illinois and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Allana Kathleen Bush, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1871308999

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLAKE FOREST REGENESIS MEDICAL CENTER, PLLC

Location Address1025 W EVERETT RD STE 2Lake Forest, IL 60045-2668

Mailing Address1025 W Everett Rd Ste 2Lake Forest, IL 60045-2668 · (224) 436-8006 · Fax (949) 703-8371

Phone(224) 436-8006

Fax(949) 703-8371

Organization SubpartNo

Authorized OfficialAllana Kathleen BushFnp-c · (224) 436-8006

Enumeration DateFebruary 7, 2025

NPPES CertifiedFebruary 7, 2025

✔ NPI 1871308999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

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).

1025 W EVERETT RD STE 2, Lake Forest, IL 60045

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2341426

Lake Forest Regenesis Medical Center, PLLC · Lake Forest, IL

Active · expires Mar 31, 2028

CLIA Number14D2341426

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorAllana K. Bush

Laboratory Phone(224) 436-8006

Laboratory LocationLake Forest Regenesis Medical Center, PLLC1025 W Everett Rd - Ste 2, Lake Forest, IL 60045

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. ALLANA KATHLEEN BUSH NP-C, RN

Nurse Practitioner

1025 W EVERETT RD STE 2
LAKE FOREST, IL 60045

Lake County (224) 436-8006

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 Lake Forest Regenesis Medical Center, PLLC's NPI number?

The NPI number for Lake Forest Regenesis Medical Center, PLLC is 1871308999. It was assigned to this organization in the NPPES registry on February 7, 2025.

Where is Lake Forest Regenesis Medical Center, PLLC located?

Lake Forest Regenesis Medical Center, PLLC is located at 1025 W Everett Rd Ste 2, Lake Forest, IL 60045. The listed phone number is (224) 436-8006.

What is Lake Forest Regenesis Medical Center, PLLC's specialty?

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

Does Lake Forest Regenesis Medical Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2341426) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Forest Regenesis Medical Center, PLLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.