Wicker Park Renaissance

LBN: Wicker Park Renaissance
Wicker Park Renaissance is an health care organization with primary practice located at 1527 N Wicker Park Ave , Chicago IL 60622-1996. 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. Wicker Park Renaissance can be contacted via phone (773) 645-8900, or through Banghart, Michael via phone (773) 645-8900.

Contact Information

Primary practice address
1527 N Wicker Park Ave Chicago IL 60622-1996
Phone: (773) 645-8900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Banghart, Michael
Phone: (773) 645-8900

Health care specialties

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

Profile Details

NPI number 1619620853
LBN Legal business name Wicker Park Renaissance
DBA Doing business as
Authorized official Banghart, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 2022 - about 3 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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