Renard Alexander
Individual provider Active NPI Case Manager/Care Coordinator · Blue Island, IL
NPI 1710375381 · NPPES record last updated Jan 5, 2015
Key facts
- NPI
- 1710375381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 13136 Western Ave
Blue Island, IL 60406-2423 - Phone
- (708) 974-5815
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
13136 Western Ave
Blue Island, IL 60406-2423
Mailing address
13136 Western Ave
Blue Island, IL 60406-2423
Phone (708) 974-5815
Other providers in Blue Island, IL
- Patrick Adams
- Ronald Frank Agrigento
- Eric Aguinaldo
- Rafiq Ahmed
- Daniel Ahrens
- Susana Coralia Alvarez
- Ambient Concierge Home Health Care LLC
- Ambient Concierge Home Health Care LLC
- American Drug Stores LLC
- Mark William Anderson
All providers in Blue Island, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2015. 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.