# REN F DUARTE PSY D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356792477
- **Authorized official:** REN F DUARTE PSY . D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (773) 315-0636

## Contact information

- **Practice address:** 3200 N LAKE SHORE DR, APT. 1001, CHICAGO, IL 60657-3952
- **Practice address phone:** (773) 315-0636
- **Mailing address:** 3200 N LAKE SHORE DR, APT. 1001, CHICAGO, IL 60657-3952
- **Mailing address phone:** (773) 315-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 071-006715 | IL | Yes |

## Other

- **Enumeration date:** 06/29/2016
- **Last updated:** 04/21/2023