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Contact Information

RENAISSANCE AT MIDWAY INC
4437 S CICERO AVE
CHICAGO, IL60632-4333
 Phone: 773-884-0484
 Fax: 773-884-0485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RENAISSANCE AT MIDWAY INC

NPI # 1487725628
LBN Legal business name RENAISSANCE AT MIDWAY INC
Authorized official REUVEN LEVITIN - (PATIENT ACCOUNTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2006
Last updated 03/16/2009 - About 17 years ago
Identifiers
IL License # 5003380001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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