Individual provider Active NPI

Renuka Chilajwar, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1801264809
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2600 S Michigan Ave
Suite 102
Chicago, IL 60616-2857
Phone
(312) 326-7492
Fax
(312) 326-7490
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2600 S Michigan Ave
Suite 102
Chicago, IL 60616-2857

Mailing address

10001 Derby LN
Suite 208
Westchester, IL 60154-3749
Phone (708) 681-2991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001000188 IL Practitioner - Physical Therapist in Private Practice 6608184296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 506
Chicago, IL 60602-3837
Phone (312) 986-9833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Renaissance LTD Physical Therapist CurrentSince Mar 23, 2018 Accepting new patients
Wellness by Physiatry, PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

30 N Michigan Ave
Ste 506
Chicago, IL 60602
Phone (773) 312-4423

2555 N Southport Ave
Ste 1
Chicago, IL 60614

2869 N Lincoln Ave
Chicago, IL 60657
Phone (773) 665-9950

122 S Michigan Ave
Ste 1441
Chicago, IL 60603
Phone (312) 786-4990

25 E Washington St
Ste 1310
Chicago, IL 60602
Phone (312) 855-1711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1801264809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 DERBY LN",
            "address_2": "SUITE 208",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601543749",
            "telephone_number": "708-681-2991",
            "fax_number": "708-731-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162857",
            "telephone_number": "312-326-7492",
            "fax_number": "312-326-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILAJWAR",
        "first_name": "RENUKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.