Individual
DR. ELLERY REYES HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
425 HUEHL RD, UNIT #13, NORTHBROOK, IL 60062-2319
(847) 504-5000
(847) 504-5015
Mailing address
425 HUEHL RD, UNIT #13, NORTHBROOK, IL 60062-2319
(847) 504-5000
(847) 504-5015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000983A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0732240001
DMERC # WITH PPG
—
05
—
200247020A
—
IN
Enumeration date
07/11/2006
Last updated
05/29/2013
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