Individual
THOMAS EDWARD REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
430 WARRENVILLE RD STE 230, LISLE, IL 60532-1348
(888) 693-6437
(630) 432-6227
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002743
IL
Other
Enumeration date
07/28/2006
Last updated
04/20/2021
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