Renovare Healthcare Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RENOVARE HEALTHCARE SERVICES INC

Practice address

6160 N Cicero Ave Ste 122
Chicago, IL 60646-4308

Phone

(773) 417-6071

Fax

(224) 467-2170

NPI assigned

Jun 5, 2023

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Olumide A Oluwole, APRNNPI 1366982233

Title

Owner

Phone

(773) 392-1858

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olumide A Oluwole

  • Family Nurse Practitioner
  • Downers Grove, IL
  • NPI 1366982233
  Medicare reassignment NPD Authorized official
• Oluwakemi Udeogu, APN

  • Nurse Practitioner
  • Downers Grove, IL
  • NPI 1891187423
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1124712179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 N LOWELL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124728",
            "telephone_number": "773-417-6071",
            "fax_number": "224-467-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE STE 122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464308",
            "telephone_number": "773-417-6071",
            "fax_number": "224-467-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVARE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "OLUWOLE",
        "authorized_official_first_name": "OLUMIDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-392-1858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Christian Renn, D.C.
• Alec M Renner, DPM
• Jessica A Renner, M.A., LCPC, SOTP
• Paul K Renner, DDS
• Lauren Reno
• Renovatio Dental, Inc
• Chloe Renshaw, MD
• Andrea E Rentea, MD
• Razvan G Rentea, MD
• Sorina Rentea, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.