Amando a Reniva Mdsc
Amando a Reniva Mdsc is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
6315 N Milwaukee Ave # AChicago, IL 60646-3760
Phone: (847) 698-0661
Fax: (847) 768-9132
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036105799 (IL) |
|---|
Record details
| NPI number | 1639323942 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amando Reniva — President · (847) 698-0661 |
| Other names | Primary Care Skokie |
| NPI enumerated | November 13, 2008 |
| Last updated in NPPES | June 4, 2016 |
| Mailing address | 1125 S Washington Ave, Park Ridge, IL 60068-4814 |
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