Individual
DR. ALEC M RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5738
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(847) 565-9124
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
135001201
IL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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