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NPI Code Detail

MEDICARE: NULIFE RECOVERY ILLINOIS, INC

MEDICARE: NULIFE RECOVERY ILLINOIS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1538011978
Entity Type Code : Organization
Provider Name (Legal Business Name) : NULIFE RECOVERY ILLINOIS, INC
Provider Business Mailing Address
First Line : 1451 ROUTE 88 STE 5
Second Line :
City : BRICK
State : NJ
Zip : 08724-2371
Country : US
Telephone Number : 845-372-6480
Fax Number : 732-808-4775
Provider Business Practice Location Address
First Line : 1400 E LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-8217
Country : US
Telephone Number : 847-348-9979
Fax Number : 732-808-4775
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : SHARON PARISI
Credential : EA
Telephone Number : 845-372-6480
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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