REVIVE TREATMENT CENTER - LAKE ZURICH LLC
NPI 1942182662
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Zurich, IL
NPI Status: Active since July 23, 2025
Contact Information
365 SURRYSE RD STE 120
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 320-1133
Fax: (312) 757-6869
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 14D2315015
- CLIA Cert. Type: Other - OPIOID TREATMENT PROGRAM
- CLIA Exp. Date: 12-03-2026
About REVIVE TREATMENT CENTER - LAKE ZURICH LLC
This page provides the complete NPI Profile along with additional information for Revive Treatment Center - Lake Zurich Llc, a provider established in Lake Zurich, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1942182662 assigned on July 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Aron Friedman (Director Of Business Development)
- NPI
- 1942182662
- Provider Name
- REVIVE TREATMENT CENTER - LAKE ZURICH LLC
- Entity Type
- Organization
- Location Address
- 365 SURRYSE RD STE 120 LAKE ZURICH, IL 60047
- Location Phone
- (847) 320-1133
- Location Fax
- (312) 757-6869
- Mailing Address
- 365 SURRYSE RD STE 120 LAKE ZURICH, IL 60047
- Mailing Phone
- (847) 320-1133
- Mailing Fax
- (312) 757-6869
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2025
- Last Update Date
- 07-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2315015
- Facility Type
- Other - OPIOID TREATMENT PROGRAM
- Certificate Effective Date
- December 04, 2024
- Certificate Expiration Date
- December 03, 2026
- Laboratory Director
- LINDA BOSTICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Revive Treatment Center - Lake Zurich Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1942182662, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LAKE ZURICH, IL 60047
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942182662, enumerated as an "organization" on July 23, 2025.
The provider is located at 365 SURRYSE RD STE 120 LAKE ZURICH, IL 60047 and the phone number is (847) 320-1133.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
