RENEVA LANE
NPI 1518735455
Counselor - Mental Health in Merrionette Park, IL
Active since December 19, 2023
About Reneva Lane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEVA LANE (NPI 1518735455) is an individual mental health provider in Merrionette Park, Illinois and active in the NPI registry since December 2023.
NPPES Registry Identity
NPI1518735455
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENEVA LANE
Location Address11560 S KEDZIE AVEMerrionette Park, IL 60803-4517
Mailing Address11560 S Kedzie AveMerrionette Park, IL 60803-4517
Phone(872) 315-5470
Sole ProprietorYes
Enumeration DateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1518735455 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11560 S KEDZIE AVE, Merrionette Park, IL 60803
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Interventional Cardiology)
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
MERRIONETTE PARK, IL 60803
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11560 S KEDZIE AVE, SUITE 100
MERRIONETTE PARK, IL 60803
MERRIONETTE PARK, IL 60803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518735455, enumerated as an "individual" on December 19, 2023.
The provider is located at 11560 S KEDZIE AVE MERRIONETTE PARK, IL 60803 and the phone number is (872) 315-5470.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
