Renita Shores-gaston


Address: 129 S Phelps Ave, Bldg 10 Suite 1006, Rockford, IL 61108-2456
Phone: 8155432789

Renita Shores-gaston (NPI# 1346614435, PAC ID# 7618250747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1346614435
PAC ID by PECOS 7618250747
Professional Enrollment ID I20170215000294
Full Name Renita Shores-gaston
Address 129 S Phelps Ave
Bldg 10 Suite 1006
Rockford
IL 61108-2456
Phone Number 8155432789
Gender F
Graduation Year 2011
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
129 S Phelps Ave, Bldg 10 Suite 1006, Rockford, IL 61108-2456 8155432789

Organization Information

Office Location

Street Address 129 S PHELPS AVE
BLDG 10 SUITE 1006
City ROCKFORD
State IL
Zip 61108-2456

Physicians in the same location

Name Specialty Organization Address
Patrick B Whitaker Chiropractic 129 S Phelps Ave, Suite 316, Rockford, IL 61108-2448

Physicians in the same zip code

Name Specialty Organization Address
Marie L Epling Clinical Social Worker 6975 Redansa Dr, Rockford, IL 61108-1201
Paul A Galluzzo Podiatry 6999 Redansa Dr, Rockford, IL 61108-1201
James M Viggiano Psychologist, Clinical 6975 Redansa Dr, Rockford, IL 61108-1201
Jason R Soriano Psychologist, Clinical 6975 Redansa Dr, Rockford, IL 61108-1201
Brian D Klaung Clinical Social Worker 6975 Redansa Dr, Rockford, IL 61108-1201
Suzanne E Stephan Clinical Social Worker 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406
Beth A Drennen Clinical Social Worker 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406
Lisa M Nackers Psychologist, Clinical University of Wisconsin Medical Foundation Inc 2404 Charles St, Rockford, IL 61108-1602
Sarah M Gurney Nurse Practitioner Swedishamerican Hospital 2404 Charles St, Rockford, IL 61108-1602
Leynard M Martinez Family Medicine Swedishamerican Hospital 2404 Charles St, Rockford, IL 61108-1602
Find all physicians in zip 61108

Competitor

Search similar physicians

City ROCKFORD
Zip Code 61108
Specialty CLINICAL SOCIAL WORKER
City + Specialty ROCKFORD + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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