Provider Demographics
NPI:1306939491
Name:RENEE Y. HILL M.D., P.C.
Entity type:Organization
Organization Name:RENEE Y. HILL M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-921-0360
Mailing Address - Street 1:263 E PAUL REVERE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-9371
Mailing Address - Country:US
Mailing Address - Phone:219-921-1182
Mailing Address - Fax:219-921-0559
Practice Address - Street 1:101 BEVERLY DR
Practice Address - Street 2:SUITE A
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-3470
Practice Address - Country:US
Practice Address - Phone:219-921-0360
Practice Address - Fax:219-921-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201700Medicare ID - Type Unspecified