Renee M Gezik
Individual provider Active NPI Behavior Technician · Justice, IL
NPI 1306304209 · NPPES record last updated Mar 9, 2019
Key facts
- NPI
- 1306304209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 506 Sterling St E
Justice, IL 60458-1231 - Phone
- (847) 306-9843
- NPI assigned
- Mar 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
506 Sterling St E
Justice, IL 60458-1231
Mailing address
506 Sterling St E
Justice, IL 60458-1231
Phone (847) 306-9843
Other providers in Justice, IL
- Forest Counseling Service Inc
- Forest Hills Pharmacy Inc.
- Madhavi Gadde
- Christina Olivia Gainey
- Christina Dayle Gardner
- Pamela Gill
- Grace Heals at Home L.L.C
- Gregory P Schubert DDS LTD
- Ranna Halim
- Brandon Hargrove
All providers in Justice, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.