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Individual

DR. JOHN THOMAS REYNOLDS

Active
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Individual

DR. JOHN THOMAS REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009341
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004932381
BC/BS
IL
01
—
2017038
FIRST HEALTH
IL
01
—
3474535
AETNA - HMO
IL
01
—
5979340
CIGNA
IL
01
—
7531336
AETNA - PPO
IL
Enumeration date
09/22/2005
Last updated
11/27/2012
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