| Renova Care Inc | |
|
627 N York St Elmhurst IL 60126-1620 | |
| (346) 771-1189 | |
| Not Available |
| Full Name | Renova Care Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 627 N York St, Elmhurst, Illinois |
| Authorized Official Name and Position | Taraka Pavan Kalyan Orsu (CLINIC/CENTER) |
| Authorized Official Contact | 3467711189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renova Care Inc 627 N York St Elmhurst IL 60126-1620 Ph: (270) 263-2698 | Renova Care Inc 627 N York St Elmhurst IL 60126-1620 Ph: (346) 771-1189 |
| NPI Number | 1770497091 |
|---|---|
| Provider Enumeration Date | 10/01/2026 |
| Last Update Date | 10/01/2026 |
| Certification Date | 10/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770497091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
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