Physician Compare National (NPI:1497930051)

HEALTHCARE PROVIDER: CHRISTOPHER MICHAEL RENNER D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497930051
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072696293
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080212000237
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RENNER
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5007 N ILLINOIS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE1
	Group Practice or individual's line 2 address
City	FAIRVIEW HEIGHTS
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	622083419
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y