Individual
JOANN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-2800
Mailing address
550 OAKMONT LN, WESTMONT, IL 60559-3700
(630) 601-1280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020589
IL
Other
Enumeration date
12/25/2019
Last updated
09/29/2020
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