The Renaissance Park South, LLC

NPI #1255622023 in Chicago, Illinois

Provider Information

NPI Number: 1255622023
Entity Type: Organization
Organization Name: The Renaissance Park South, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Apr 27, 2011
Last Updated: Apr 27, 2011

Practice Location

Address: 10935 S HALSTED ST
City: Chicago
State: Illinois
ZIP Code: 60628-3127
Phone: (773) 928-2000

Authorized Official

Name: EMILY KOPSIAS
Title: DIRECTOR OF RESIDENT ACCT & BILLING
Phone: (847) 745-6226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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