LAKE FOREST REGENESIS MEDICAL CENTER, PLLC
NPI 1871308999
Clinic/Center in Lake Forest, IL
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
Specialties & Licenses
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).
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, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871308999, enumerated as an "organization" on February 07, 2025.
The provider is located at 1025 W EVERETT RD STE 2 LAKE FOREST, IL 60045 and the phone number is (224) 436-8006.
Clinic/Center with taxonomy code 261Q00000X.
