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 provides Family Nurse Practitioner services 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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