Renew Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEW THERAPEUTIC SERVICES

Practice address

10336 S Western Ave Ste 1
Chicago, IL 60643-2407

Phone

(708) 906-5327

Fax

(773) 304-3885

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Felicia Madlock, LCSW

Title

Owner

Phone

(708) 916-5327

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1407491137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST STE 109",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-916-5327",
            "fax_number": "773-304-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10336 S WESTERN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432407",
            "telephone_number": "708-906-5327",
            "fax_number": "773-304-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "MADLOCK",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-916-5327",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Hugo Rendon, DDS
• Victor Hugo Rendon Jr., DDS
• Rene S Vasquez M D S C
• Renee Luburic MD
• Renew Chiropractic Health and Wellness LLC
• Renew You Counseling Center LLC
• Renewal Life Community Development Corporation
• Renewal Life Community Development Corporation
• Renewal Therapy PLLC
• Renewed Body Chiropractic & Wellness Center LLC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.