Individual
KERRIE REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
610 S MAPLE AVE, SUITE 3420, OAK PARK, IL 60304-1091
(708) 934-7100
(708) 934-7106
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6078
(630) 909-7000
(630) 909-7001
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
036102526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102526
—
IL
01
—
363236791
TAX ID #
IL
Enumeration date
12/01/2006
Last updated
02/04/2009
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