# REJUV ROLLING MEADOWS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386904845
- **Authorized official:** SHAWN CHRISTOPHER SNIDER CNP (OWNER)
- **Authorized official phone:** (309) 678-4243

## Contact information

- **Practice address:** 3501 ALGONQUIN RD, ROLLING MEADOWS, IL 60008-3103
- **Practice address phone:** (847) 457-4378
- **Mailing address:** 101 OAK VALLEY DR, GOODFIELD, IL 61742-9502
- **Mailing address phone:** (309) 678-4243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036095342 | IL | Yes |

## Other

- **Enumeration date:** 05/17/2012
- **Last updated:** 05/17/2012