Lifestyle Rejuvenation Medical Group PLLC
NPI 1134781974 · Multi-Specialty Clinic/Center · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifestyle Rejuvenation Medical Group PLLC is a Multi-Specialty Clinic/Center organization in Chicago, IL (NPI 1134781974).
Provider details
- NPI number
- 1134781974
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Higginbottom, Ceo(773) 667-9053
Specialties & taxonomies
Ambulatory Health Care Facilities
- Chiropractor111N00000X
Chiropractic Providers
- Rehabilitation Chiropractor111NR0400X
Chiropractic Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1746 E 55th StChicago, IL 60615-5966Phone: (773) 667-9053
Registry dates
- Enumerated
- 2019-07-02
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Frequently asked questions
- What is Lifestyle Rejuvenation Medical Group PLLC's NPI number?
- Lifestyle Rejuvenation Medical Group PLLC's National Provider Identifier (NPI) is 1134781974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifestyle Rejuvenation Medical Group PLLC?
- Lifestyle Rejuvenation Medical Group PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifestyle Rejuvenation Medical Group PLLC located?
- Lifestyle Rejuvenation Medical Group PLLC's practice location on file with NPPES is 1740 E 55th Street, Chicago, IL 60615.
- What is Lifestyle Rejuvenation Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lifestyle Rejuvenation Medical Group PLLC is (773) 667-9053.
- Does Lifestyle Rejuvenation Medical Group PLLC accept Medicare?
- Lifestyle Rejuvenation Medical Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifestyle Rejuvenation Medical Group PLLC?
- The authorized official listed on Lifestyle Rejuvenation Medical Group PLLC's NPPES record is Robert Higginbottom, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifestyle Rejuvenation Medical Group PLLC's NPI active?
- Yes — Lifestyle Rejuvenation Medical Group PLLC's NPI (1134781974) is active in the NPPES registry as of the last update on 2020-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.