Healthcare Provider Details

I. General information

NPI: 1992649180
Provider Name (Legal Business Name): NEWRISE NEURO REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 N ABERDEEN ST STE 400
CHICAGO IL
60607-1670
US

IV. Provider business mailing address

171 N ABERDEEN ST STE 400
CHICAGO IL
60607-1670
US

V. Phone/Fax

Practice location:
  • Phone: 773-875-9060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY MARIE STEVENS
Title or Position: CEO
Credential: LCPC
Phone: 773-875-9060