Individual
DR. REGGIE EDWIN DUERST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 975-8512
(773) 880-3223
Mailing address
1509 BASSWOOD CIR, GLENVIEW, IL 60025-2006
(847) 724-5415
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L95633
—
IL
Enumeration date
05/19/2006
Last updated
07/08/2007
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