| Renegade Wellness | |
|
725 Washington St Apt 108 Evanston IL 60202-2243 | |
| (224) 300-0987 | |
| Not Available |
| Full Name | Renegade Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 725 Washington St Apt 108, Evanston, Illinois |
| Authorized Official Name and Position | Renee Surgi (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 8479875655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renegade Wellness 725 Washington St Apt 108 Evanston IL 60202-2243 Ph: () - | Renegade Wellness 725 Washington St Apt 108 Evanston IL 60202-2243 Ph: (224) 300-0987 |
| NPI Number | 1831922293 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831922293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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