Individual
DR. KIRSTEN F REAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5323 E WONDER LAKE RD, WONDER LAKE, IL 60097-9051
(815) 653-0077
Mailing address
5463 BULL VALLEY RD, MCHENRY, IL 60050-7410
(815) 653-0077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05622784
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/03/2006
Last updated
08/18/2019
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