Individual
JOHN A. RENKOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085010741
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111578A
—
GA
05
—
0038963-00
—
FL
Enumeration date
09/22/2006
Last updated
03/28/2025
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