PRIMARY CARE SKOKIE
NPI 1639323942
Family Medicine in Chicago, IL

Active since November 13, 2008
6315 N MILWAUKEE AVE # A, CHICAGO, IL 60646(847) 698-0661(847) 768-9132 Get Directions Write a Review

NPPES record last updated: June 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primary Care Skokie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE SKOKIE (NPI 1639323942) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since November 2008. The organization lists Amando A Reniva, President, as its authorized official.

NPPES Registry Identity

NPI1639323942
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMANDO A RENIVA MDSC
Location Address6315 N MILWAUKEE AVE # AChicago, IL 60646-3760
Mailing Address1125 S Washington AvePark Ridge, IL 60068-4814 · (773) 551-3570
Fax(847) 768-9132
Organization SubpartNo
Authorized OfficialAmando A RenivaPresident · (847) 698-0661
Enumeration DateNovember 13, 2008
Last NPPES UpdateJune 4, 2016
NPI 1639323942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036105799
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6315 N MILWAUKEE AVE # A, Chicago, IL 60646

Other Names 1

Doing Business AsPrimary Care Skokie

Other Identifiers 6

Other1932109352IL · Individual Npi Number
OtherK01460Medicare Id #
Other207202Medicare Ptan
Other1639323942Npi Group
Medicare UPINH75041IL
Medicare PIN207202IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6315 N MILWAUKEE AVE # A
CHICAGO, IL 60646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amando A Reniva Mdsc's NPI number?

The NPI number for Amando A Reniva Mdsc is 1639323942. It was assigned to this organization in the NPPES registry on November 13, 2008. The provider is doing business as Primary Care Skokie.

Where is Amando A Reniva Mdsc located?

Amando A Reniva Mdsc is located at 6315 N Milwaukee Ave # A, Chicago, IL 60646. The listed phone number is (847) 698-0661.

What is Amando A Reniva Mdsc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Amando A Reniva Mdsc was last updated on June 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.