THE RENAISSANCE CENTER I

CHICAGO, IL
NPI1386940815
Doing Business AsTRC
Entity TypeOrganization
Authorized ContactJERRY L WEEMS
Chief Executive Officer
773-671-0466
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
103TC2200X Psychologist, Clinical Child & Adolescent
1041C0700X Social Worker, Clinical
122300000X Dentist
133V00000X Dietitian, Registered
152W00000X Optometrist
163W00000X Registered Nurse
207PE0004X Emergency Medicine, Emergency Medical Services
207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
208000000X Pediatrics
320800000X Community Based Residential Treatment Facility, Mental Illness
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2011-02-01
Last Update Date2011-02-01
Business Address
THE RENAISSANCE CENTER I
1337 S INDIANA PKWY
CHICAGO, IL 60605-2619
Phone number: 773-671-0466
Mailing Address
THE RENAISSANCE CENTER I
430 E 162ND ST SUITE 492
SOUTH HOLLAND, IL 60473-2258
Phone number: 773-671-0466