Active NPI
Rene McNeillie
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1407616204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657-5640 - Phone
- (773) 665-6730
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Mailing address
14014 Chevy Chase Dr
Houston, TX 77077-4422
Other names 1
- Rene Zimmerer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730004613 | TX | Order and Referring Only - Diagnostic Radiology | 1052828225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1407616204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14014 CHEVY CHASE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770774422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-665-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILLIE",
"first_name": "RENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENE",
"last_name": "ZIMMERER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.