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

Lifestyle Rejuvenation Medical Group PLLC

Organization Chiropractor · NPI 1134781974

Lifestyle Rejuvenation Medical Group PLLC is a Chiropractor in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
15
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

1740 E 55th St
Chicago, IL 60615
Phone: (773) 667-9053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1746 E 55th St, Chicago, IL 60615-5966 — (773) 667-9053

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Chiropractor Taxonomy 111N00000X
Rehabilitation Chiropractor Taxonomy 111NR0400X
Health Service Clinic/Center Taxonomy 261QH0100X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Pain Clinic/Center Taxonomy 261QP3300X
Radiology Clinic/Center Taxonomy 261QR0200X
Rehabilitation Clinic/Center Taxonomy 261QR0400X
Recovery Care Clinic/Center Taxonomy 261QR0800X
Health Maintenance Organization Taxonomy 302R00000X
Preferred Provider Organization Taxonomy 305R00000X
Point of Service Taxonomy 305S00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1134781974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Higginbottom — Ceo · (773) 667-9053
NPI enumeratedJuly 2, 2019
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address1740 E 55th St, Chicago, IL 60615-5966

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