Individual
BRITTANY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4134 192ND CT, COUNTRY CLUB HILLS, IL 60478-5808
(708) 960-4529
Mailing address
14415 ASHLAND AVE, DIXMOOR, IL 60426-1107
(708) 960-4529
(708) 312-5399
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3002146
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881805300
—
IL
Enumeration date
03/10/2022
Last updated
06/27/2022
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