Provider Demographics
NPI:1548314024
Name:MEHLINGER, RENEE DENISE (MD)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:DENISE
Last Name:MEHLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:DENISE
Other - Last Name:MEHLINGER MITCHELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:715 LAKE STREET
Mailing Address - Street 2:SUITE 713
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1416
Mailing Address - Country:US
Mailing Address - Phone:708-524-4697
Mailing Address - Fax:708-524-4617
Practice Address - Street 1:715 LAKE STREET
Practice Address - Street 2:SUITE 713
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1416
Practice Address - Country:US
Practice Address - Phone:708-524-4697
Practice Address - Fax:708-524-4617
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry