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

South Side Rejuvenation LLC

Organization Family Nurse Practitioner · NPI 1386418184

South Side Rejuvenation LLC is a Family Nurse Practitioner in Tinley Park, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17749 65th Ave
Tinley Park, IL 60477-4370
Phone: (708) 670-2576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1386418184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Belcher — Family Nurse Practitioner · (708) 670-2576
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 12, 2023
Mailing address17749 65th Ave, Tinley Park, IL 60477-4370

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