Kilpatrick Renaissance

Specialty details in registry · Chicago, IL

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At a glance

4655 W Berteau Ave, Chicago, IL 60641-2647

NPPES record updated Jan 28, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4655 W Berteau Ave
Chicago, IL 60641-2647
Professional details: NPI, taxonomy & registry record
NPI1629721816
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Jan 28, 2022
Record updated
Jan 28, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4655 W Berteau Ave
Chicago, IL 60641-2647
Phone
(773) 645-8900
Mailing address
2501 W WASHINGTON BLVD STE 401

CHICAGO, IL 606122127
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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