Organization
RS HARTZ MD NAMPTP NEUROPATHY DR SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE HARTZ MD (MEDICAL DIRECTOR)
(773) 637-0166
Entity
Organization
Contact information
Practice address
715 LAKE ST, SUITE 900, OAK PARK, IL 60301-1422
(773) 637-0166
(708) 386-5547
Mailing address
1032 BALDWIN LN, OAK PARK, IL 60302-4445
(773) 637-0166
(708) 386-5547
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036051428
IL
Other
Enumeration date
02/10/2015
Last updated
12/28/2015
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