Organization
RENOVARE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUMIDE A OLUWOLE APRN (OWNER)
(773) 392-1858
Entity
Organization
Contact information
Practice address
6160 N CICERO AVE STE 122, CHICAGO, IL 60646-4308
(773) 417-6071
(224) 467-2170
Mailing address
6818 N LOWELL AVE, LINCOLNWOOD, IL 60712-4728
(773) 417-6071
(224) 467-2170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
10/14/2025
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