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Renata Block, PA

Physician Assistant in Chicago, IL. Individual provider (NPI-1).

NPI number1639129554
StatusActive
Last updated in NPPESMar 29, 2024

Details

NPI
1639129554
Entity type
Individual (NPI-1)
Name
Renata Block
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 11, 2006
Certification date
Mar 29, 2024
Last updated
Mar 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10004152AINYes
363A00000X Physician Assistant085-001907IL

Practice location

150 N Michigan Ave
Suite 1200
Chicago, IL 60601-7553

Phone 312-263-4625 · Fax 312-263-5029

Mailing address

150 N Michigan Ave
Suite 1200
Chicago, IL 60601-7553

Phone 312-263-4625 · Fax 312-263-5029

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