Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wicker Park Renaissance

Organization Case Management Agency · NPI 1619620853

Wicker Park Renaissance is a Case Management Agency in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1527 N Wicker Park Ave
Chicago, IL 60622-1996
Phone: (773) 645-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1619620853
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRenaissance Social Services, Inc
Authorized official Michael Banghart — Executive Director · (773) 645-8900
Other names Historic Wicker Park
NPI enumeratedJanuary 28, 2022
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address2501 W Washington Blvd Ste 401, Chicago, IL 60612-2127

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