Organization
DR. LAURA RENTERIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RENTERIA PHD (OWNER)
(773) 580-5580
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE, STE 1801, CHICAGO, IL 60601-3901
(773) 580-5580
Mailing address
333 N MICHIGAN AVE, STE 1801, CHICAGO, IL 60601-3901
(773) 580-5580
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071007292
IL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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