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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDO A RENIVA MDSC

Active Organization

AMANDO A RENIVA MDSC is a Family Medicine organization located in CHICAGO, Illinois. NPI 1639323942 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

Registration Details

NPI Number
1639323942
Provider Type
Organization
NPI Issued
Nov 13, 2008 (17.745877681483 yrs)
Last Updated
Jun 4, 2016
License
036105799 (IL)

Practice Information

Address
6315 N MILWAUKEE AVE # A
CHICAGO, IL, 606463760
Browse IL providers · Browse ZIP 60646
Phone
8476980661
Fax
8477689132
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.