Renaissance Social Services

LBN: Renaissance Social Services, Inc.
Renaissance Social Services is an health care organization with primary practice located at 2501 W Washington Blvd Ste 401 , Chicago IL 60612-2127. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Renaissance Social Services, Inc. can be contacted via phone (773) 645-8900, or through Banghart, Michael via phone (773) 645-8900.

Contact Information

Primary practice address
2501 W Washington Blvd Ste 401 Chicago IL 60612-2127
Phone: (773) 645-8900
Fax: (312) 624-9849
Website:
Map and Directions
Authorized official contact:
Name: Banghart, Michael M.A., L.P.C.
Phone: (773) 645-8900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1720201031
LBN Legal business name Renaissance Social Services, Inc.
DBA Doing business as Renaissance Social Services
Authorized official Banghart, Michael M.A., L.P.C.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Jan 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720201031 NPPES
Illinois MEDICAID 000015006

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