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Individual

AIRIAUNA REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
836 W WELLINGTON AVE, ANESTHESIA DEPARTMENT, CHICAGO, IL 60657-5147
(773) 296-7041
Mailing address
836 W WELLINGTON AVE, ANESTHESIA DEPARTMENT, CHICAGO, IL 60657-5147

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-1332373
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125056056
STATE LICENSE
IL
Enumeration date
07/10/2009
Last updated
11/05/2015
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