Organization
PACSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENU R MAHAJAN M.D. (OWNER)
(708) 486-2700
Entity
Organization
Contact information
Practice address
101 MADISON ST STE 300, OAK PARK, IL 60302-4210
(708) 486-2700
(708) 486-2702
Mailing address
1111 SUPERIOR ST, SUITE 104, MELROSE PARK, IL 60160-4138
(708) 486-2700
(708) 486-2702
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
036117839
IL
Other
Enumeration date
08/31/2011
Last updated
06/25/2025
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