Individual
PATRICK L REAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9200
Mailing address
180 N HARVESTER DRIVE SUITE 110, BURR RIDGE, IL 60527
(773) 702-1061
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036.138848
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
036.138848
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
245073
NY
Other
Enumeration date
05/13/2009
Last updated
06/30/2023
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