Healthcare Provider Details

I. General information

NPI: 1891618997
Provider Name (Legal Business Name): RENEW PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E NORTHWEST HWY
MOUNT PROSPECT IL
60056-3444
US

IV. Provider business mailing address

920 E NORTHWEST HWY
MOUNT PROSPECT IL
60056-3444
US

V. Phone/Fax

Practice location:
  • Phone: 847-459-4779
  • Fax: 847-459-5771
Mailing address:
  • Phone: 847-459-4779
  • Fax: 847-459-5771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN SAWICKA
Title or Position: PRACTICE MANAGER
Credential:
Phone: 847-459-4779