RENOVENA HEALTH INC (NPI# 1740802214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740802214 |
| Entity Type | Organization |
| Organization Name | RENOVENA HEALTH INC |
| Practice Address |
4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 |
| Practice Telephone | 6303641316 |
| Practice Fax Number | 7083776558 |
| Mailing Telephone | 6303641316 |
| Mailing Fax Number | 7083776558 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-06-06 |
| Authorized Official Name | CHRISTINE WANYANA (NURSE PRACTITIONER) |
| Authorized Official Telephone | 6303641316 |
| Authorized Official Credential | APN-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4320 WINFIELD RD STE 200 |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356624035 | Christine Wanyana | Internal Medicine | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2011-09-20 |
| 1164036034 | Nicole Koch | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-09-08 |
| 1982218640 | Valerie Jochems | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-09-01 |
| 1013535061 | Matthew Schultz | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-07-07 |
| 1629695994 | Nicole Jimenez | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-07-02 |
| 1407477052 | Platinum Psychology Services Inc | Psychologist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-05-05 |
| 1942848387 | Brian Bonk | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-12-17 |
| 1851939292 | Paul Mckoy | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-12-17 |
| 1487290300 | Jacqueline Doolittle | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-11-26 |
| 1144861428 | Molly Holmes | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1528495470 | Home Care Doctors of Illinois Inc | Internal Medicine | 121 Fairfield Way Ste 312, Bloomingdale, IL 60108-1585 | 2013-10-08 |
| 1699059857 | We Care for Seniors Ltd | Internal Medicine | 501 Ashbury Ct, Lemont, IL 60439-8422 | 2011-10-06 |
| 1508181108 | Francina Miguelina Peralta Machado | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2010-04-07 |
| 1295976892 | Woodridgeclinic-lemont | Internal Medicine | 15884 W 127th St, Suite H, Lemont, IL 60439-7422 | 2009-03-12 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1326209446 | Downers Grove Geriatrics, LLC | Internal Medicine | 3800 Highland Ave Ste 111, Downers Grove, IL 60515-1558 | 2008-06-20 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.