NPIMap

Organization Active NPI

Renovo Health Inc

  • Family Medicine Physician
  • Lombard, IL
National Provider Identifier
1487442489
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RENOVO HEALTH INC
Practice address
246 E Janata Blvd Ste 305
Lombard, IL 60148-5383
Phone
(708) 263-5622
NPI assigned
Apr 29, 2025
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Dr. Owais Iqbal, MDNPI 1184911695
Title
President
Phone
(708) 263-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

246 E Janata Blvd Ste 305
Lombard, IL 60148-5383

Mailing address

246 E Janata Blvd Ste 305
Lombard, IL 60148-5383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250821001761 IL Part B Supplier - Clinic/Group Practice 1052811429 Receives reassigned benefits from 10 practitioners
Practice locations: Lombard, IL
O20250929000637 IN Part B Supplier - Clinic/Group Practice 1052811429 Receives reassigned benefits from 2 practitioners
Practice locations: Michigan City, IN

National Provider Directory

National Provider Directory

Locations

246 E Janata Blvd
Ste 305
Lombard, IL 60148
Phone (630) 282-7822

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1487442489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E JANATA BLVD STE 305",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E JANATA BLVD STE 305",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485383",
            "telephone_number": "708-263-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVO HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "OWAIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-263-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.