OrganizationActive
Health and Renewal Internal Medicine Sc
NPI 1235467903 · Medical Specialty Clinic/Center · Evergreen Park, IL
Provider details
- NPI number
- 1235467903
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dolores Dixon-Grevious, President(312) 850-3855
- License
- 01060010A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
2850 W 95th St
Suite 301
Evergreen Park, IL 60805-2735
Phone: (708) 389-2200
Fax: (708) 389-2211
Approximate (ZIP-level) locationGet directions
Mailing address
849 W Ohio St
Chicago, IL 60642-6982
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2009-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.