Individual
DR. JODY W REED SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5427 N BROADWAY ST APT 3H, CHICAGO, IL 60640-1732
(708) 873-9059
(773) 692-8626
Mailing address
5427 N BROADWAY ST APT 3H, CHICAGO, IL 60640-1732
(708) 873-9059
(708) 428-4504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-112289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112289 1
—
IL
Enumeration date
06/15/2006
Last updated
08/16/2022
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