Individual
RENE SHERWIN PARUNGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050
(815) 455-2752
(815) 455-2789
Mailing address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(815) 455-2752
(815) 455-2789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036115790
IL
208600000X
Surgery Physician
2013030325
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115790
STATE LICENSE
IL
05
—
1942231667
—
MO
01
—
718000036
MEDICARE MO
MO
01
—
K29524
MEDICARE ID#
IL
Enumeration date
07/05/2006
Last updated
03/18/2019
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