Renaissance Medical Group

NPI #1992867311 in Oak Lawn, Illinois

Provider Information

NPI Number: 1992867311
Entity Type: Organization
Organization Name: Renaissance Medical Group
Primary Specialty: Specialist
Enumeration Date: Dec 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4440 W 95TH ST
Address 2: ROOM 250 NORTH
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2600
Phone: (708) 684-5722

Authorized Official

Name: DR. THOMAS F MYERS, MD
Title: PRESIDENT
Phone: (708) 684-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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