Individual
BRYCE RENICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 E ERIE ST STE 225, CHICAGO, IL 60611-4797
(773) 525-5200
(773) 525-5276
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024010
IL
Other
Enumeration date
10/18/2018
Last updated
07/18/2019
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