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THE RENAISSANCE CENTER I

General Practice Physician

NPI: 1386940815Organization

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Counselor — Mental Health

Code: 101YM0800X

Psychologist — Clinical Child & Adolescent

Code: 103TC2200X

Social Worker — Clinical

Code: 1041C0700X

Dentist

Code: 122300000X

Dietitian, Registered

Code: 133V00000X

Optometrist

Code: 152W00000X

Registered Nurse

Code: 163W00000X

Emergency Medicine — Emergency Medical Services

Code: 207PE0004X

Internal Medicine

Code: 207R00000X

Obstetrics & Gynecology

Code: 207V00000X

Pediatrics

Code: 208000000X

Community Based Residential Treatment Facility, Mental Illness

Code: 320800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

General Practice

Code: 208D00000X

Contact & Hours

Address
1337 S INDIANA PKWY
CHICAGO, IL 60605

Quick Facts

NPI
1386940815
Entity Type
Organization
Medicare
Not confirmed
Specialties
15
Locations
1

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