Organization
RENAISSANCE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F MYERS MD (PRESIDENT)
(708) 684-5722
Entity
Organization
Contact information
Practice address
4440 W 95TH ST, ROOM 250 NORTH, OAK LAWN, IL 60453-2600
(708) 684-5722
(708) 684-1405
Mailing address
4440 W. 95TH STREET, ROOM 250 NORTH, OAK LAWN, IL 60453
(708) 684-5722
(708) 684-1405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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