Joseph a Renguso
NPI #1649665993 in Long Grove, Illinois
Provider Information
- NPI Number
- 1649665993
- Entity Type
- Organization
- Organization Name
- Joseph a Renguso
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 3, 2015
- Last Updated
- Apr 3, 2015
Practice Location
- Address
- 4160 ROUTE 83
- Address 2
- SUITE 202
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-8034
- Phone
- (847) 506-3597
Authorized Official
- Name
- JOSEPH A RENGUSO, M.S.
- Title
- OWNER
- Phone
- (847) 506-3597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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