Organization · Type 2 NPI

The Renaissance Center I

General Practice Physician · Chicago, IL

NPI number 1386940815 Active

Practice location

1337 S Indiana Pkwy
Chicago, IL 60605-2619

Call (773) 671-0466 Map

Fax (312) 945-3750

Mailing address

430 E 162nd St, Suite 492
South Holland, IL 60473-2258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Clinical Social Worker 1041C0700XNone listed
Dentist 122300000XNone listed
Registered Dietitian 133V00000XNone listed
Optometrist 152W00000XNone listed
Registered Nurse 163W00000XNone listed
Emergency Medical Services (Emergency Medicine) Physician 207PE0004XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
General Practice Physician Primary 208D00000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1386940815

The Renaissance Center I's National Provider Identifier is 1386940815, issued on Feb 1, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 1, 2011.