OrganizationActive
Rejuv Integrative Medical Practice Shawn C Snider
NPI 1104186667 · Health Service Clinic/Center · Bloomington, IL
Provider details
- NPI number
- 1104186667
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Snider, Owner(309) 622-3002
- License
- 036.110856 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 N Hershey Rd
Bloomington, IL 61704-3527
Phone: (309) 622-3002
Fax: (309) 263-4611
Street-level locationGet directions
Mailing address
405 N Hershey Rd
Bloomington, IL 61704-3527
Other names (DBA / former)
- Doing business as
- Liferx
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2012-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.