Organization · Type 2 NPI

Renaissance Medical Group

Specialist · Oak Lawn, IL

NPI number 1992867311 Active

Practice location

4440 W 95th St, Room 250 North
Oak Lawn, IL 60453-2600

Fax (708) 684-1405

Mailing address

4440 W. 95th Street, Room 250 North
Oak Lawn, IL 60453

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992867311

Renaissance Medical Group's National Provider Identifier is 1992867311, issued on Dec 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oak Lawn, IL. The record was last updated on Aug 22, 2020.