Individual
IRENE RENIERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 W. WILSON SUITE #5117, CHICAGO, IL 60640
(773) 588-7840
(773) 588-0711
Mailing address
1945 W. WILSON AVE SUITE #5117, CHICAGO, IL 60640
(773) 588-7840
(773) 588-0711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026735
IL
Other
Enumeration date
10/10/2005
Last updated
12/27/2023
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