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Organization
THE RENAISSANCE AT 87TH STREET INC
Active
Organization
THE RENAISSANCE AT 87TH STREET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY KOPSIAS (DIRECTOR OF RESIDENT ACCT & BILLING)
(847) 745-6226
Entity
Organization
Contact information
Practice address
2940 W 87TH ST, CHICAGO, IL 60652-3832
(773) 434-8787
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0042093
IL
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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