1386940815 THE RENAISSANCE CENTER I

General Practice Physician

Active

Basic Information

Organization Name
THE RENAISSANCE CENTER I
Enumeration Date
February 1, 2011
Last Update
February 1, 2011
Authorized Official
DR. JERRY L WEEMS PSY.D.
CHIEF EXECUTIVE OFFICER
Phone: (773) 671-0466

Practice Location

Address
1337 S INDIANA PKWY
CHICAGO, IL 606052619
Phone
(773) 671-0466
Fax
(312) 945-3750

Mailing Address

Address
430 E 162ND ST
SUITE 492
SOUTH HOLLAND, IL 604732258
Phone
(773) 671-0466
Fax
(312) 945-3750

Specialties & Taxonomies

Specialty Code Classification License State Primary
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
101YA0400X Counselor N/A N/A No
Mental Health Counselor
Mental Health
101YM0800X Counselor N/A N/A No
Clinical Child & Adolescent Psychologist
Clinical Child & Adolescent
103TC2200X Psychologist N/A N/A No
Clinical Social Worker
Clinical
1041C0700X Social Worker N/A N/A No
Dentist
122300000X Dentist N/A N/A No
Registered Dietitian
133V00000X Dietitian, Registered N/A N/A No
Optometrist
152W00000X Optometrist N/A N/A No
Registered Nurse
163W00000X Registered Nurse N/A N/A No
Emergency Medical Services (Emergency Medicine) Physician
Emergency Medical Services
207PE0004X Emergency Medicine N/A N/A No
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology N/A N/A No
Pediatrics Physician
208000000X Pediatrics N/A N/A No
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness N/A N/A No
Non-emergency Medical Transport (VAN)
343900000X Non-emergency Medical Transport (VAN) N/A N/A No
General Practice Physician
208D00000X General Practice N/A N/A Primary

Frequently Asked Questions

What is THE RENAISSANCE CENTER I's NPI number?
THE RENAISSANCE CENTER I's NPI number is 1386940815.
Which doctor has NPI number 1386940815?
The doctor with NPI number 1386940815 is THE RENAISSANCE CENTER I.
What is THE RENAISSANCE CENTER I's practice address?
THE RENAISSANCE CENTER I's practice address is 1337 S INDIANA PKWY, CHICAGO, IL, 606052619.
Which doctor practices at 1337 S INDIANA PKWY, CHICAGO, IL, 606052619?
THE RENAISSANCE CENTER I practices at 1337 S INDIANA PKWY, CHICAGO, IL, 606052619.
What is THE RENAISSANCE CENTER I's mailing address?
THE RENAISSANCE CENTER I's mailing address is 430 E 162ND ST, SUITE 492, SOUTH HOLLAND, IL, 604732258.
What is THE RENAISSANCE CENTER I's phone number?
THE RENAISSANCE CENTER I's phone number is (773) 671-0466.
Who is (773) 671-0466?
(773) 671-0466 is the phone number for THE RENAISSANCE CENTER I.
What is THE RENAISSANCE CENTER I's specialty?
THE RENAISSANCE CENTER I's specialty is General Practice Physician.
What type of doctor is THE RENAISSANCE CENTER I?
THE RENAISSANCE CENTER I is a General Practice Physician.
Is THE RENAISSANCE CENTER I a General Practice?
Yes, THE RENAISSANCE CENTER I is a General Practice.
Is THE RENAISSANCE CENTER I still practicing?
Yes, THE RENAISSANCE CENTER I is currently practicing.
Is THE RENAISSANCE CENTER I accepting new patients?
THE RENAISSANCE CENTER I may be accepting new patients. Please call their office at (773) 671-0466 to inquire about availability.
Is NPI 1386940815 still active?
Yes, NPI 1386940815 is currently active.
Where does THE RENAISSANCE CENTER I practice?
THE RENAISSANCE CENTER I practices in CHICAGO, IL.