Provider Demographics
NPI:1134679129
Name:RENDER, MICHAEL D (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:RENDER
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4885 HOFFMAN BLVD STE 407
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3726
Mailing Address - Country:US
Mailing Address - Phone:224-484-0183
Mailing Address - Fax:224-699-9301
Practice Address - Street 1:4885 HOFFMAN BLVD STE 407
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3726
Practice Address - Country:US
Practice Address - Phone:224-484-0183
Practice Address - Fax:224-699-9301
Is Sole Proprietor?:No
Enumeration Date:2016-10-13
Last Update Date:2022-05-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant