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RENAISSANCE MEDICAL GROUP
NPI 1992867311
Specialist in Oak Lawn, IL

Active since December 14, 2006
4440 W 95TH ST, ROOM 250 NORTH, OAK LAWN, IL 60453(708) 684-5722(708) 684-1405 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissance Medical Group NPPES

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

RENAISSANCE MEDICAL GROUP (NPI 1992867311) is a healthcare organization registered as a specialist in Oak Lawn, Illinois and active in the NPI registry since December 2006. The organization lists Thomas F Myers, President, as its authorized official.

NPPES Registry Identity

NPI1992867311
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRENAISSANCE MEDICAL GROUP
Location Address4440 W 95TH ST, ROOM 250 NORTHOak Lawn, IL 60453-2600
Mailing Address4440 W. 95th Street, Room 250 NorthOak Lawn, IL 60453 · (708) 684-5722 · Fax (708) 684-1405
Phone(708) 684-5722
Fax(708) 684-1405
Organization SubpartNo
Authorized OfficialThomas F MyersPresident · (708) 684-5722
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992867311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4440 W 95TH ST, Oak Lawn, IL 60453
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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 20

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

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Renaissance Medical Group's NPI number?

The NPI number for Renaissance Medical Group is 1992867311. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Renaissance Medical Group located?

Renaissance Medical Group is located at 4440 W 95th St Room 250 North, Oak Lawn, IL 60453. The listed phone number is (708) 684-5722.

What is Renaissance Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Renaissance Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.