The Renaissance At South Shore, Inc in Lincolnwood - Parenteral & Enteral Nutrition
The Renaissance At South Shore, Inc - NPI 1518038744
The Renaissance At South Shore, Inc is a Parenteral & Enteral Nutrition in Lincolnwood, Illinois. The Renaissance At South Shore, Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for The Renaissance At South Shore, Inc is 1518038744. The last update date is 2009-09-14.
The Renaissance At South Shore, Inc's current location address is 7257 N Lincoln Ave, Lincolnwood, Illinois. You can contact this provider via phone number 8479332600 and fax number 8479330686. The mailing address for The Renaissance At South Shore, Inc is 7257 N Lincoln Ave, Lincolnwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Renaissance At South Shore, Inc |
|---|---|
| Address | 7257 N Lincoln Ave, Lincolnwood, Illinois |
| Phone Number | 8479332600 |
| Fax Number | 8479330686 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PATIENT AC |
|---|---|
| Authorized Official Name | Levitin Reuven |
| Telephone Number | 8477456240 |
NPI Number Detail
| NPI Number | 1518038744 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2009-09-14 |
Provider Mailing Address Detail
| Address | 7257 N Lincoln Ave |
|---|---|
| City | Lincolnwood |
| State | Illinois (IL) |
| Post Code | 607121810 |
| Phone Number | 8479332600 |
| Fax Number | 8479330686 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | 151803744 |
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Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
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What is the unique 10-digit identification code assigned to The Renaissance At South Shore, Inc by the Centers for Medicare & Medicaid Services?
The The Renaissance At South Shore, Inc has been issued the NPI (National Provider Identifier) 1518038744, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of The Renaissance At South Shore, Inc?
The The Renaissance At South Shore, Inc is situated at 7257 N Lincoln Ave, in the city of Lincolnwood, state of IL, with the zip code 607121810.
What is the The Renaissance At South Shore, Inc's specialty and taxonomy code?
The The Renaissance At South Shore, Inc's specialty is Parenteral & Enteral Nutrition, and the corresponding taxonomy code is 332Bp3500X.
On what date did The Renaissance At South Shore, Inc receive its 1518038744 assignment from the Centers for Medicare & Medicaid Services?
The The Renaissance At South Shore, Inc was assigned its 1518038744 on 2006-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the The Renaissance At South Shore, Inc's information last updated?
The The Renaissance At South Shore, Inc's information was last updated on 2009-09-14.
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