OrganizationActive
Wicker Park Renaissance
NPI 1619620853 · Community/Behavioral Health Agency · Chicago, IL
Provider details
- NPI number
- 1619620853
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Renaissance Social Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Michael Banghart, Executive Director(773) 645-8900
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1527 N Wicker Park Ave
Chicago, IL 60622-1996
Phone: (773) 645-8900
Street-level locationGet directions
Mailing address
2501 W Washington Blvd Ste 401
Chicago, IL 60612-2127
Other names (DBA / former)
- Other name
- Historic Wicker Park
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.