Individual
DR. RENAUD DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.R.C.S.C.
Contact information
Practice address
71 W 156TH ST, SUITE #400, HARVEY, IL 60426-4265
(708) 596-8710
(708) 596-9820
Mailing address
71 W 156TH ST, SUITE #400, HARVEY, IL 60426-4265
(708) 596-8710
(708) 596-9820
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.127479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127479 1
—
IL
01
—
2162750255
BLUE SHIELD OF IL
IL
Enumeration date
07/24/2011
Last updated
02/13/2012
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