Individual
MRS. HERMINIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8264
(847) 984-5676
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8264
(847) 984-5676
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041373647
IL
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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