# PACSA LLC

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

## Provider details

- **NPI number:** 1710268917
- **Authorized official:** DR. RENU R MAHAJAN M.D. (OWNER)
- **Authorized official phone:** (708) 486-2700

## Contact information

- **Practice address:** 101 MADISON ST STE 300, OAK PARK, IL 60302-4210
- **Practice address phone:** (708) 486-2700
- **Practice address fax:** (708) 486-2702
- **Mailing address:** 1111 SUPERIOR ST, SUITE 104, MELROSE PARK, IL 60160-4138
- **Mailing address phone:** (708) 486-2700
- **Mailing address fax:** (708) 486-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 036117839 | IL | Yes |

## Other

- **Enumeration date:** 08/31/2011
- **Last updated:** 06/25/2025