THE RENAISSANCE CENTER I NPI 1386940815

NPI Information

NPI: 1386940815
Provider Name: THE RENAISSANCE CENTER I

Doing Business As: TRC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1337 S INDIANA PKWY
CHICAGO, IL
ZIP 60605
Phone: (773) 671-0466
Get Directions

THE RENAISSANCE CENTER I is a general practice in Chicago, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE RENAISSANCE CENTER I NPI is 1386940815. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Trc.

The provider's business location address is:

1337 S INDIANA PKWY
CHICAGO, IL
ZIP 60605-619
Phone: (773) 671-0466
Fax: (312) 945-3750

The provider's authorized official is Jerry L Weems .
The authorized official title is Chief Executive Officer and has the following contact phone number (773) 671-0466.

The enumeration date for this NPI number is 2/1/2011 and was last updated on 2/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	No
4	1041C0700X	Social Worker	Clinical	No
5	122300000X	Dentist		No
6	133V00000X	Dietitian, Registered		No
7	152W00000X	Optometrist		No
8	163W00000X	Registered Nurse		No
9	207PE0004X	Emergency Medicine	Emergency Medical Services	No
10	207R00000X	Internal Medicine		No
11	207V00000X	Obstetrics & Gynecology		No
12	208000000X	Pediatrics		No
13	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
14	343900000X	Non-emergency Medical Transport (VAN)		No
15	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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