Organization
LEO A. REYES, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO A. REYES M.D. (PRESIDENT)
(815) 338-5940
Entity
Organization
Contact information
Practice address
1664 S. EASTWOOD DRIVE, WOODSTOCK, IL 60098-4655
(815) 338-5940
(815) 338-5940
Mailing address
1664 S. EASTWOOD DRIVE, WOODSTOCK, IL 60098-4655
(815) 338-5940
(815) 206-5919
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.045343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-045343
—
IL
05
—
036045343
—
IL
Enumeration date
01/16/2011
Last updated
02/20/2012
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