Individual
PATRICK DAVID REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 TAYLOR ST, JOLIET, IL 60435-6029
(805) 608-0449
Mailing address
803 TAYLOR ST, JOLIET, IL 60435-6029
(815) 608-0449
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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