Organization
THE RENAISSANCE PARK SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY KOPSIAS (DIRECTOR OF RESIDENT ACCT & BILLING)
(847) 745-6226
Entity
Organization
Contact information
Practice address
10935 S HALSTED ST, CHICAGO, IL 60628-3127
(773) 928-2000
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0049098
IL
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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