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Individual
DR. JOHANN SEBASTIAN JC REYES SERAG
Active
Individual
DR. JOHANN SEBASTIAN JC REYES SERAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-141804
IL
207Q00000X
Family Medicine Physician
MD446474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036141804
—
IL
01
—
12464493
CAQH
IL
Enumeration date
09/17/2009
Last updated
09/24/2018
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