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Individual

RENATO GORESHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
311 E 89TH AVE, MERRILLVILLE, IN 46410-8162
(219) 769-7062
(630) 495-1770
Mailing address
2500 W HIGGINS RD, STE 1040, HOFFMAN ESTATES, IL 60169-2049
(815) 744-8554
(630) 495-1770

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036.147753
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235450420
IL
05
MCO300042637
IN
Enumeration date
06/22/2010
Last updated
08/05/2022
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