Most Relevant Information
Provider Data
| NPI Number: | 1003383472 |
| Provider Name: | JENNIFER RENAUD |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160.007734 |
Most Important Dates
| Enumeration Date: | 10/24/2018 |
| Last Updated: | 10/24/2018 |
Provider Practice Location
2000 W LAKE ST
HANOVER PARK
IL
601334302
Practice Location Phone/Fax
| Phone: | 6305562000 |
| Fax: |
Provider Mailing Location
2000 W LAKE ST
HANOVER PARK
IL
601334302
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |