The Renaissance Park South, Llc

NPI 1255622023 - Durable Medical Equipment & Medical Supplies - 332BX2000X

NPI Details
NPI 1255622023
Enumeration Date 04/27/2011
Last Updated 04/27/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name EMILY EMILY
Position DIRECTOR OF RESIDENT ACCT & BILLING
Phone (773) 928-2000
Fax
Practice Location
10935 S HALSTED ST
CHICAGO IL, 60628-3127, US
Phone (773) 928-2000
Fax
Business Location
7257 N LINCOLN AVE
LINCOLNWOOD IL, 60712-1810, US
Phone (847) 933-2600
Fax
Toxanomy
Taxonomy Code 332BX2000X
License State Illinois
License Number 0049098
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According to our database, The Renaissance Park South, Llc NPI is 1255622023, taxonomy code is 332BX2000X and license number is 0049098, license state is located at Illinois. The Renaissance Park South, Llc physically located at 10935 S Halsted St, Chicago IL, 60628-3127. NPI Number 1033115704 has the healthcare provider type.

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1255622023 NPI number is provided on an as is basis without warranty of any kind. 1255622023 is maintained by the National Plan & Provider Enumeration System. The contents of The Renaissance Park South, Llc are for informational purposes only.