AMANDO A RENIVA

CHICAGO, IL
NPI1932109352
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036105799)
Enumeration Date2005-07-28
Last Update Date2016-06-04
Business Address
Dr. AMANDO A RENIVA M.D.
6315 N MILWAUKEE AVE # A
CHICAGO, IL 60646-3760
Phone number: 847-679-1668
Mailing Address
Dr. AMANDO A RENIVA M.D.
1125 S WASHINGTON AVE
PARK RIDGE, IL 60068-4814
Phone number: 847-698-0661