| Rejuvenesse | |
|
5911 Northwest Hwy Suite 101 Crystal Lake IL 60014-8065 | |
| (815) 788-1992 | |
| (815) 788-1993 |
| Full Name | Rejuvenesse |
|---|---|
| Speciality | Internal Medicine |
| Location | 5911 Northwest Hwy, Crystal Lake, Illinois |
| Authorized Official Name and Position | Syed Waseem Haider (M.D.) |
| Authorized Official Contact | 8157881992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenesse 5911 Northwest Hwy Suite 108 Crystal Lake IL 60014-8065 Ph: (815) 788-1992 | Rejuvenesse 5911 Northwest Hwy Suite 101 Crystal Lake IL 60014-8065 Ph: (815) 788-1992 |
| NPI Number | 1275846362 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275846362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036100063 (Illinois) | Primary |
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