Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Forest Regenesis Medical Center, PLLC

Organization Clinic/Center · NPI 1871308999

Lake Forest Regenesis Medical Center, PLLC is a Clinic/Center in Lake Forest, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1025 W Everett Rd Ste 2
Lake Forest, IL 60045-2668
Phone: (224) 436-8006
Fax: (949) 703-8371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1871308999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allana Bush — Fnp-C · (224) 436-8006
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing address1025 W Everett Rd Ste 2, Lake Forest, IL 60045-2668

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