<Unavail>

LBN: The Renaissance Center I
<Unavail> is an health care organization with primary practice located at 1337 S Indiana Pkwy , Chicago IL 60605-2619. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Dietary & Nutritional Service Providers / Dietitian, Registered, Eye and Vision Services Providers / Optometrist, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Non-emergency Medical Transport (VAN). Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. The Renaissance Center I can be contacted via phone (773) 671-0466, or through Weems, Jerry L via phone (773) 671-0466.

Contact Information

Primary practice address
1337 S Indiana Pkwy Chicago IL 60605-2619
Phone: (773) 671-0466
Fax: (312) 945-3750
Website:
Map and Directions
Authorized official contact:
Name: Weems, Jerry L PSY.D.
Phone: (773) 671-0466

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dental Providers / Dentist 122300000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Eye and Vision Services Providers / Optometrist 152W00000X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1386940815
LBN Legal business name The Renaissance Center I
DBA Doing business as <Unavail>
Authorized official Weems, Jerry L PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2011
Last updated Feb 1st, 2011 - about 15 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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